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NON-HAZ. DOUS WASTE MANIFEST F WARD WASTE TREATMENT AND DISPOSAL FACILITY INC. JOB ACCEPTANCE N0. �M, GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT []GLOVES []GOGGLES []RESPIRATOR []HARD HAT M41GNG ADDRESS ❑TY-VEK []OTHER CITY,STATE.ZIP SPECIAL HANDLING PROCEDURES: • ii�(6) 0 - PHONE /0% S %y 4 4 CONTACT PERSON SIGNATURES OF AUTFjuRIZED AGENT/TITLE DATE WASTF TrE RECEIVING FACILITY _ ❑ SLUDGE ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL • [3DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD ❑ CONSTRUCTION SOIL ❑ ASH ❑ OTHER MANTECA, CALIFORNIA 95336 GENERATING FACILITY (209) 982-4298 PHONE (209) 982- 1009 FAX NAME _ _-N0T6fi, -_ -TRUCK NUMBER /77 AD ESS v � S� Yw . • CI STATE,ZIP ONE END DUMP ,._ BOTTOM DUMP TRANSFER' ._ d� S GGA- _. . ❑ __ _�. El -,_ - ❑ SIGNATURE OF AUTHO,IZED AGENT OR DRIVER DATE- ROLL-OFFS) FLAT BED DRUMS h Cl 11 FORWARD INC. LANDFILL cuBiG YARDs. Forward shall have no obligation to accept the waste if weather or other conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL METHOD: (TO BE COMPLETED BY FORWARD) impairs the safe and effective operation of the Landfill. Forward shall use reasonable efforts to promptly notify Disposer of its inability to accept the , , ;T:a DISPOSE BIO AERATEISTOCKPU OTHER waste for any reason. If Forward's refusal to accept the waste is based on / weather or other site conditions, Forward shall notify the Disposer when site E�-y SOIL conditions are expected to change such that Forward will be able to accept i' the waste. ❑ SLUDGE REMARKS _ NON-FRIABLE ___ ❑ ASBESTOS FACILITY TICKET NUMBER - _.. ❑ WOOD SIGNATURE OF AUTHORIZED AGENT DATE ❑ ASH El OTHER IN- SCHEDULING MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL a ANY UNSCHEDULED LOADS ARE SUBJECT 70 REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. TO SCHEDULE :ALL k'2091982-4298 MANIFEST # � 5;I1 3 6 GENERATOR COPY