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NON-HAZ, )OUS WASTE MANIFEST <br /> FMWARD WASTE TREATMENT AND DISPOSAL FACILITY <br /> INC JOB ACCEPTANCE NO. C M nj— / Zc/0 <br /> GENERATOR -_ _REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> la Lha EGD 0 Qj�J _ []GLOVES ❑GOGGLES []RESPIRATOR []HARD HAT <br /> MAILING ADDRES _ _ _�- C]TY-VEK ❑OTHER <br /> �� t�GX ��u _,z.• SPECIAL HANDLING PROCEDURES: <br /> .CITY,STATE,ZJP . <br /> PHONE �// <br /> I 72 <br /> CONTACT PERSON <br /> U/L(_ /tic <br /> SIGNATURE,OF AUTH9F IZED AGENT/ TITLE DATE <br /> 4 <br /> WASTE TYP RECEMNG FACILITY <br /> E] 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 /> GENERAIINGFACIUTY (209) 982-4298 PHONE <br /> � , (209) 982-1009 FAX <br /> / _ NATES. TRUCK NUMBER <br /> NAME _ Y:- - .. <br /> ADDR SS `O— <br /> • CITY,STAJF-.ZIF�` <br /> • CA �.., _,,. -�---. _. =.END DUMP <br /> BOTTOM DUMP , ,: TRANSFER, <br /> PHONE-::. <br /> ❑ ❑ ❑ <br /> SIGNATURE OF AUTHORIZED AGENT OFf DRIVER. DATE ;..,ROLL-0FF(S) .SCAT 8ED _ VAIV,: r DRUMS <br /> FORWARD INC. LANDFILL <br /> Forward shall have no obligation to accept the waste if weather or other C_ Ir <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 snail use <br /> reasonable efforts to promptly notify Disposer of its inability to accept the +"- , .> _.. r:_', DISPOSE.' BI.O AERATE STOCKPILE ._OTHER - <br /> waste for any reason. If Forward's refusal to accept the waste is based on Q'SOIL <br /> weather or other site conditions,Forward shall notify the Disposer when site ICS <br /> • conditions are expected to change such that Forward will be able to accept <br /> the waste. ❑ SLUDGE <br /> • REMARKS r�= NON-FRIABLE <br /> FACS TICKET NUMBER _ ,r _ <br /> ❑ ASBESTOS <br /> ❑ WOOD <br /> SIGNAIVRE OF AUTHORIZED AGENT DATE <br /> ❑ ASH <br /> - \\a , �- C i/! ❑ 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 * 35033 <br /> GENERATOR COPY <br />