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NON-HAZE )OUS WASTE MANIFEST <br /> FORWARDWASTE TREATMENT AND DISPOSAL FACILITY <br /> /NC. JOB ACCEPTANCE N0. JCX - <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> C2 L,4aC C_ wCU 0 L��U /4 S7/4 []GLOVES ❑GOGGLES []RESPIRATOR ❑HARD HAT <br /> MAILING ADDRESS ❑TY-VEK ❑OTHER <br /> f�L' x - 7SS SPECIAL HANDLING PROCEDURES: <br /> CITY,STATE;ZIP <br /> PHONE <br /> %O /"/ 6 5!72 <br /> CONTACT PERSON <br /> SIGNATUREOFAUTHORIZED AGENT! <br /> WASTE T-Y RECEIVING FACILITY X.:•:� :__ <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • © DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> •• ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY. ,:;;_ __� (209) 982-4298 PHONE <br /> L (209) 982- 1009 FAX <br /> NAME, ; <br /> . NOTES _ ._ __...�.,:__. .TRUCK NUMBER _ <br /> - <br /> ADDRESS <br /> ...CITY,-STATE',ZiF' _. `'' .: _ .. <br /> , ,>., 14ak-(C- jr <br /> ,. END DUMP _ BOTTOM DUMPS TRANSFER <br /> PHONE S; _. i s>; :1, ..... .. . _ <br /> El <br /> SIGNATURE OF AUTHORIZED_AGENT OR DRIVER '' DATE ?_ 'ROLL-0FF(S) FLAT BED " VAN DRUMS - <br /> CUBIC YA " <br /> FORWARD INC. LANDFILL - RDS <br /> C � <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 DISPOSE BIS. AERATE STOCKPILE OTHER <br /> reasonable efforts to promptly notify Disposer of its inability to accept the , ,- - - <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 notifythe Disposer when site / <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste. ❑ SLUDGE <br /> REMARKS: L -..= _ NON-FRIABLE <br /> ❑ ASBESTOS <br /> FACury TICKET NUMBER , <br /> ❑ WOOD <br /> SIGNATURE OF AUTHOFTZED AGENT DATE <br /> ❑ ASH <br /> ' � `Jl� OTHERI Now <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 # 3.5030 <br /> GENERATOR COPY <br />