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l SON-HAZE )OUS WASTE MANIFEST <br /> FORWARD <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> SNC" JOB ACCEPTANCE NO. <br /> GENERATtIR ` REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> ❑GLOVES ❑GOGGLES ❑RESPIRATOR CHARD HAT <br /> MAIUNMADORESS ❑TY-VEK ❑OTHER <br /> --, SPECIAL HANDLING PROCEDURES: <br /> CITY,STATE ZIP <br /> t 0 U157;9C-oo+ - <br /> PHONE <br /> j741 SOY%Z <br /> CONTACT PERSON ' <br /> SIGNATURE OF AUTHOR AGENT/TITLE DATE <br /> • WASTEJYOF, �.� _ ;=•. .. 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 /> GENERATINGFACILITY _ (209) 982-4298 PHONE <br /> (209) 982 1009 FAX <br /> NOTES: TRUCK NUMBER <br /> NAME-,.t/ �S - �`ct..� fft�._ _ -. — <br /> ADDRESS �I <br /> /// <br /> • CITY,STATE;tO'_:- <br /> PHONE <br /> END BOTTO❑M DUMP 7DRUNS <br /> - �• -•- - --- •- VAN <br /> SIGNA E OF AUTHOFRIZEII'AGENT OR DRIVER' �D T ROLL-OFF(S)Y� . FLAT-BED <br /> ' �a�7 l� ❑ ❑ ❑ ❑ <br /> 'FORWARD INC. LANDFILL cuBICYARDs -� . . C _ <br /> Forward shall have no obligation to accept the waste if weather or other 7 <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 /> reasonable efforts to promptly notify Disposer of its inability to accept the DISPOSE BIO �AERATE SM001tE 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 SOIL <br /> ' conditions are expected to change such that Forward will be able to accept <br /> the waste. ❑ SLUDGE <br /> REMARKS <br /> ❑ NON-FRIABLE <br /> ASBESTOS <br /> FACILITY TICKET NUMBER <br /> ❑ WOOD <br /> SIGNATURIE OF AUTHORIZED AGENT DATE <br /> ❑ ASH <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 # 35044 <br /> GENERATOR COPY <br />