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a FORWARD NON-HAZf.._.JOUS WASTE MANIFEST <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> IhIr. JOB ACCEPTANCE N0. 7aS al <br /> QENEg�p OR .. - TREAORED PERSONAL tl ElkJ �19� t/l,)�SN VES ❑GOGGLES ❑RESPIRATOR [ }IARDHAT <br /> iA ONG AODRES9 -VEK ❑OTHER <br /> (� t t SPECIAL HANDLING PROCEDURES: <br /> My, �TAIt, ZIP �a A11e <br /> • �NlFvdl , CW, n ��� <br /> MNTA PER nr��33 `� <br /> EI AUTHORIZ K AQ /�T111- DATE <br /> WASTE TYPE - 71- RECEIVING FACILIT <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • �¢DISPOSAL SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> u CONSTRUCTION SOIL ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> en kyr CAQ- WAS (209) 982- 1009 FAX <br /> 10D E , C-cd 1 Ave . <br /> t� , CA. qS,440 <br /> NAME at- <br /> NOTES:, r <br /> ADDRESS 4140 E , pPll})pR Qct • ra$ <br /> . CITY. STATE, ZIP �(�gnt�pl \_ tq• QSaao <br /> • PHONE Cama�4 -q UL> END DUMB <br /> SIGNATURE OF AUTHORIZE AGENT OR DRIVER DATE ROLLOFF($) .P•, 0110111111 <br /> J <br /> CUBIC YARDS <br /> FORWARD INC. LANDFILL �Ul Al s <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 SE COMPLETED BY FORWARD) <br /> impairs the safe and effective operation of the Landfill. Forward shall use - r. <br /> reasonable efforts to promptly notify Disposer of Its Inability to accept the DISPOSE BIO AERATE 9100XPR� ;' .tlTHER <br /> waste for any reason. If Forward's refusal to accept the waste is based on <br /> weather or other site conditions, Forward shall notify the Disposer when site ❑ SOIL <br /> conditions are expected to change such that Forward will be able to accept <br /> • the waste. 3.i�y;• "".-"'^"as*m• z - ,ter i. ❑ SLUDGE <br /> pEMARK9 :- , �rdH�'-�,��e,'�a �•i>±,= +��r*tw.b, t-,: , <br /> h^a <br /> ❑ NON-FRIABLE <br /> FACILItY TIGKET-NU ItIll . "�� :_� 3 AN" <br /> Aseesros <br /> ❑ wooD <br /> L811GINA7TuREOF AUTHORIZED AGENT DATE e ;`J��; Vl� <br /> ASH <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 MANIFEST 20818 O818 <br /> +t <br /> GENERATOR COPY <br /> 39Ri <br />