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NON-HAZ .DOUS WASTE MANIFEST <br /> FSRWARD WASTE TREATMENT AND DISPOSAL FACILITY <br /> /Nr. JOB ACCEPTANCE NO. CiVI, - Z U <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> CL-4lJOL% L �tJeG{7 L'�p �5] []GLOVES []GOGGLES []RESPIRATOR []HARD HAT <br /> MAILING ADDR,�ESSy ❑TY-VEK E]OTHER <br /> � 1. C 7s <br /> CITY,'STATE,Z1P _ '- SPECIAL HANDLING PROCEDURES: <br /> PHONE <br /> CONTACT PERS - <br /> SIGNATU I�OFAUTFJORIZED AGENT/ TITLE DATE ' <br /> h <br /> u <br /> WASTE TY 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 /> GENERATING FACILITY (209) 982-4298 PHONE <br /> (209) 982-1009 FAX <br /> NAME..... : .; ,.,NOTES s TRUCK NUMBER <br /> ADDRESS <br /> • CITY,STATE,ZIP <br /> PHONE _ ENQDUMP r. BOTTOM DUMP.',_.'. _ TRANSFER <br /> • SIGNATURE QF AUTHORIZED AGENT OR DRIVER DATE RO[1-0FF(S} FLAT-BED VAN�� �DRUMS <br /> FORWARD INC. LANDFILL - cuBICYARDs. <br /> Forward shall have no obligation to accept the waste if weather or other I C <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 pISPOSE BIO AERATE OTHER_ <br /> reasonable efforts to promptly notify Disposer of its inability to accept the '..r _ _ <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 /> ❑ ASBESTOS <br /> FACILITY TICKET NUMBER <br /> ❑ WOOD <br /> SIGNATURE OF AUTHORIZED AGENT DATE <br /> ❑ ASH <br /> `k ; - ❑ 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 ;2091 982-4298 MANIFEST # 35048 <br /> GENERATOR COPY <br />