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NON-HAZJ jOUS WASTE MANIFEST <br /> F&RWARD WASTE TREATMENT AND DISPOSAL FACILITY <br /> INC. JOB ACCEPTANCE NO. Ctili - Z <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> 4L'i� ,/ Wvpp C!U } []GLOVES []GOGGLES []RESPIRATOR ]HARD HAT <br /> MAILING ADDRESS ❑TY-VEK ❑OTHER <br /> E vscx %S� np <br /> CITY,STATE,ZIP ' SPECIAL HANDLING PROCEDURES: <br /> • /7/c7 1-1 t>/ /_) <br /> PHONE <br /> • <br /> -7o;7 37q 6V 7 Z- . <br /> CONTACT PERSON <br /> 13/LL /LSC i�0/✓f)e:P.. . . __... -' _.,:,..,..,. <br /> SIGNATUREOF AUTHgRIZEWG!�a f TITLE_ DATE;; <br /> 1012 71,4C, <br /> WASTE TYPE/) _ . . RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • Q DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> []-CONSTRUCTION SOIL ❑ ASH <br /> •• ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITYyn (209) 982-4298 PHONE <br /> (209) 982-1009 FAX <br /> NAME X NOTA TRUGK-NUMBER. <br /> AD; /*7 <br /> ESS J <br /> • CfK STATE.fJP <br /> PHO E� __..._.. - � END DUMPS,, .,: BOTTOM DUMP' r TRANSFER <br /> SIGNATURE F AUTHORIZED AGENT OR DRIVER DATE ROLL-0FF(S�., FLA -BED-, ..:.,,' VAIN DRUMS <br /> ❑ _ ° ❑ ❑ <br /> CUM,YARDS <br /> FORWARD INC. LANDFILL <br /> Forward shall have no obligation to accept the waste if weather or other <br /> i. <br /> conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL METHOD:- (TO BE COMPU=TED BY FORWARD) <br /> impairs the safe and effective operation of the Landfill. Forward shall use DISPOSE BIO AERATE OTHER <br /> reasonable efforts to promptly notify Disposer of its inability to accept the .,;, 1= ';.;.. _ -,.-OTHER <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 notify the Disposer when site <br /> • conditions are expected to change such that Forward will be able to accept <br /> the waste. ❑ SLUDGE <br /> REMARKS <br /> NON-FRIABLE <br /> c: ❑ ASBESTOS <br /> FACILITY TICKET NUMBER <br /> ❑ WOOD <br /> SIGIfATURE OF AUTHORIZED AGENT ­JDATE_ . - ❑ ASH <br /> I X11i ❑ 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 f209)982-4298 MANIFEST * 35037 <br /> GENERATOR COPY <br />