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NON-HAZ" SOUS WASTE MANIFEST <br /> FORWARD' <br /> WASTE TREAT MENT AND DISPOSAL FACILITY <br /> /NC. JOB ACCEPTANCE NO. , ,,,, - /Zyv _j <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> C iJ c op �� f ❑GLOVES E]GOGGLES []RESPIRATOR <br /> ]HARD HAT <br /> MAILING ADDRESS ❑TY-VEK ❑OTHER <br /> ?o Sox �S� - SPECIAL HANDLING PROCEDURES: <br /> CITY STATE,ZIP' <br /> lJ JI YR <br /> _ <br /> PHONE <br /> '707 374" <br /> CONTACT PERSON <br /> DGN/q LI) <br /> SIGNATURE-OF AUTFPRIZE T/f[TLE QATE <br /> • V"TE.,TYYE RECEMNG FACILITY❑ 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 /> GENERATING FACILITY (209) 982-4298 PHONE <br /> i (209) 982-1009 FAX <br /> 1= <br /> NAME �r NOTES __--_:._: TRUCK NUMBER <br /> ADDRESS <br /> . • CITY,STATE;ZIP - <br /> __ END DUMP... BOTTOM DUMP _TRANSFER <br /> PHONE _ - <br /> SIGNATUREOFAUTHORIZEQAGENT`OR'DRM=R. DATE . :'ROL-OFF(S) _"FLAT=BED- VAN DRUMS <br /> FORWARD INC. LANDFILL Y __ <br /> Forward shall have no obligation to accept the waste if weather or other <br /> conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL METHOD: (TO BECOMPL.ETED 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 <br /> DISPOSE BIO._-. AERATE STOCKPLE OTHER <br /> waste for any reason. If Forward's refusal to accept the waste is based on f <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 /> - <br /> REMARKS NON-FRIABLE <br /> _ _ ❑ ASBESTOS <br /> FACILITY TICKET NUMBER <br /> ❑ WOOD <br /> SIGs ATURE OF AUTHORIZED AGENT DATE _ <br /> j_.. : ❑ ASH <br /> ❑ OTHER <br /> SCHEDULING MUST 3E MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL a ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL!JPCN ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> TO 3CHEDUL-2 CALL 1,209) 982-1298 MANIFEST # 35047 <br /> GENERATOR COPY <br />