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FWWARD <br /> NON-HAZE 10US WASTE MANIFEST <br /> WASTE TREAT MENT AND DISPOSAL FACILITY <br /> INC. JOB ACCEPTANCE NO. /Z yo <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> h(,,'U()& C /'ST/�- _ ❑GLOVES [:]GOGGLES ❑RESPIRATOR []HARD HAT <br /> MAILING ADDRESS ❑TY-VEK []OTHER <br /> w %X i S 5 _ - SPECIAL HANDLING PROCEDURES: <br /> CITY,STATE,ZIP <br /> PHONE <br /> Tri 7 - 7N <v y7Z _ <br /> CONTACT PERSON --. . .. <br /> SIGNATURE OF ALPAORIZED AGENT/TITLE DATE <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • M-DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> .. ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> • <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> (209) 982-1009 FAX <br /> r NAME � rTF �„-; - TRUCK NUMBER <br /> L 3 <br /> ADDRESS <br /> • CITY,STATE,ZIP <br /> END DUMP BOTTOM DUMP TRANSFER <br /> PHONE ❑ ❑ __ _ <br /> . SIGNATURE OF AUTHORIZED AGENT OR DRIVER` DATE4 ROLL-0FF(S) FLAT BED VAN.-_ DRUMS <br /> FORWARD INC. LANDFILL <br /> Forward shall have no obligation to accept the waste if weather or other I / <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 useDISPOSE BIO_ � OTHER <br /> reasonable efforts to promptly notify Disposer of its inability to accept the ;y�,... :. _ <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 - -- NON-FRIABLE <br /> ❑ ASBESTOS <br /> FACILITY TICKET NUMBER <br /> ❑ WOOD <br /> SIGNATURE OF AUTHORIZED AGENT DATE - <br /> ❑ ASH <br /> ���; '--t �', ..( / ❑ OTHER <br /> L <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 CAL- 2031 982-.d298 MANIFEST * 35043 <br /> GENERATOR COPY <br />