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U*11k ry NON-HAZARDOUSWASTE MANIFEST <br /> FORWARD, <br /> I N CUR P 0 <br /> R A-T Aw) WASTE ,FENT AND DISPOSAL FACILITY <br /> � <br /> 14 lvl�_, ":1 <br /> .,,"JOB ACCEPTANCE NO. <br /> i__ GENERATOR . REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> Ml <br /> �� L [GLOVES [DGOGGLES F]RESPIRATOR bHARD HAT <br /> lUTAiLIN"DDRESS "E]TY-VEK El OTHER <br /> CITY,STATE, ZIP' SPECIAL HANDLING PROCEDURES: <br /> • <br /> PHOE <br /> -CONTACT ERSO <br /> 'SIGNATURE OF A <br /> dTH`0_�AG,E-NTjf ITW DATE <br /> WASTE TYPE <br /> RECEIVING FACILITY <br /> ❑ SLUDGE <br /> TREATMENT SOIL El NON-FRIABLE ASBESTOS i FORWARD INC. LANDFILL <br /> ElDISPOSAL SOIL <br /> WOOD <br /> CONSTRUCTION SOIL ❑ ASH <br /> 9999 SOUTH AUSTIN ROAD <br /> OTHER <br /> MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (2 0 982-4298 PHONE <br /> 21, 209) 982- 1009 FAX <br /> NAME NOTES: TRUCK NUMBER <br /> _7 I <br /> �cq <br /> ADDRESS__ f �,< <� <br /> CITY,STATE,ZIP -7 <br /> PHONE END DUMP a. BOTTOM DUMP TRANSFER <br /> • El <br /> SIGNATURE OF-AOTHORIZED AGENT OR DRIVER DATE ROLC-6FF(S) FLAT-BED VAN DRUMS <br /> E] <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste if weather or other <br /> conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL METHOD: (TO BE COMPLETED BY FORWARD) <br /> impairs the safe and effective operation of the Landfill" Forward shall use � <br /> reasonable efforts to promptly notify Disposer of its inability to accept the DISPOSE BIOAERATE STOCKPILEOTHER <br /> waste for any reason. If Forward's refusal to accept the waste is based on SOIL. <br /> weather or other site conditions, Forward shall notify the Disposer when site [:) <br /> conditions are expected to change such that Forward will be able to accept. <br /> the waste. SLUDGE <br /> _REMA:RK8, �A% <br /> w. NON-FRIABLE <br /> ASBESTOS <br /> FA61LITY Ti6k1=T'NUMBIfRt�7 <br /> W08D <br /> � t <br /> -SIGNATURE' D <br /> OF#!UtHORIZEd Adb4T-� I i�El. <br /> A H <br /> El <br /> OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL UPON ARRIVAL.ONGOING DAILY DELIVERIES MUST'BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> TO SCHEDULE CALL(209)982-4298 <br /> MANIFEST # 57972 <br /> SAL-ES COPY <br />