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NON-HAZ, .. ,DOUS WASTE MANIFEST <br />RWASTE TREATMENT AND DISPOSAL FACILITY <br />F& _���� <br />INC. JOB ACCEPTANCE NO. <br />GEN„RA,TOR <br />REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br />[]GLOVES ❑GOGGLES []RESPIRATOR ❑ HARD HAT <br />MAILING ADDRESS <br />❑TY-VEK []OTHER <br />_ <br />CITY, STATE, Z1F� <br />SPECIAL HANDLING PROCEDURES: <br />PHONE <br />CONTACT PERSON . <br />SIGNATURE OF AUTH ZED AGENT / TITLE DATE <br />.. * Z7-sem <br />WASTE TYP - <br />- - <br />RECEIVING FACILITY <br />❑ TREATMENT SOIL <br />❑ SLUDGE <br />❑ NON -FRIABLE ASBESTOS <br />FORWARD INC. LANDFILL <br />• 0. DISPOSAL SOIL <br />❑ WOOD <br />9999 SOUTH AUSTIN ROAD <br />❑ CONSTRUCTION SOIL <br />❑ ASH <br />” <br />❑ OTHER <br />MANTECA, CALIFORNIA 95336 <br />(209) 982-4298 PHONE <br />GENERATING FACILITY <br />Cry <br />( 209) 982-1009 FAX <br />:TRUCK NUMBER <br />ADDRESS /7,# a f %� L%/t'i <br />• • CITY, STATE, ZIP, <br />•END <br />PHONE - <br />DUMP BOT DUMP TRANSFER <br />❑ <br />SIGNATURE OF A ZED AGENT OR DRIVER DATE <br />ROLL -OFFS) FLAT-BED-. VAU 'DRUMS <br />-_ <br />FORWARD INC. LANDFILL <br />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 <br />impairs the safe and effective operation of the Landfill. Forward shall use <br />DISPOSAL METHOD: <br />(TO BE COMPLETED <br />BY <br />FORWARD) <br />reasonable efforts to promptly notify Disposer of its inability to accept the <br />. _,, <br />DISPOSE BIO AERATE <br />OTHER <br />waste for any reason. If Forward's refusal to accept the waste is based on <br />Forward shall notify the Disposer when site <br />p SOIL <br />/ <br />weather or other site conditions, <br />' conditions are expected to change such that Forward will be able to accept <br />the waste. <br />❑ SLUDGE <br />REMARKS <br />NON -FRIABLE <br />❑ <br />ASBESTOS <br />FACILITY TICKET NUMBER <br />❑ WOOD <br />- SIGNATURE OF AUTHORIZED AGENT DATE <br />• <br />❑ASH <br />r- <br />*- _ �, <br />❑ OTHER <br />SCHEDULING MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR <br />TO EXPECTED ARRIVAL ANY UNSCHEDUL-D LOADS ARE <br />SUBJECT TO REFUSAL UPON ARRIVAL. ONGOING DAIL`( DELIVERIES .MUST <br />BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br />TO SCHEDULE CALL (209) 982-4298 <br />35509-17 <br />GENERATOR COPY <br />MANIFEST # <br />