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NON-HAZE'- -)OUS WASTE MANIFEST <br /> FWWARD WASTE TREAD MENT AND DISPOSAL FACILITY <br /> INC. JOB ACCEPTANCE NO. jr,4m — <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> Cc.11� c_ _ C L�GO� C V []GLOVES ❑GOGGLES []RESPIRATOR ❑HARD HAT <br /> ' MAIUNG ADDRESS 77 ❑TY-VEK ❑OTHER <br /> SPECIAL HANDLING PROCEDURES: <br /> CITY,STA ZIP _. <br /> PHONE <br /> 707 37V _(V/7Z_ <br /> CONTACT PERSON <br /> SIGNATURE-OF AUThiQR ZED•A NT/TITLE DATE <br /> WASTE TYP i -. RECEIVING FACILITY <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-FACIUTY, :._ _. ..� _ (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> NAME _ ., s.:.<<:�.:'.':�. .,. _ NOTES: _ r.: -.TRUCK NUMBER_ <br /> ��AZ.��v�kL�c�.• - <br /> ADDRESS <br /> CITY,STATE.ZP _ _. . . <br /> . PHONE 'T = :- = ,. END DUMP BOTTOM DUMP TRANSFER <br /> SIGIVATLIREOFAUTHQRIZED AGENT-OR DRIVER DATE _ ROLL-0FF(S} - `^ FLATBED "`VAN: DRUMS_ <br /> CUBIG YARDS <br /> FORWARD INC. LANDFILL <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 /> OTHER- <br /> reasonable efforts to promptly notify Disposer of its inability to accept the _ DISPOSE BIO - AERATE OTHER <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 IdSOIL <br /> • conditions are expected to change such that Forward will be able to accept <br /> the waste. _ ❑ SLUDGE <br /> REMARKS <br /> _. ... _.. NON-FRIABLE <br /> w,-.,w_.. -- -. ..� -.- ❑ ASBESTOS <br /> FACILITY TICKET NUMBER—__ <br /> ❑ WOOD <br /> SIGNATURE OF AUTHORIZED AGENT ......_"A....,.. DATE.. <br /> - ❑ ASH <br /> 44 <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 # 35031 <br /> GENERATOR COPY <br />