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NON-HAZ DOUS WASTE MANIFEST <br /> FGRWARD WASTE TREATMENT AND DISPOSAL FACILITY <br /> INC. JOB ACCEPTANCE N0. Cw - /7 y v <br /> GENERATOR // REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> 14(J�7C C %Ij CO/� C!U S 1`� []GLOVES ❑GOGGLES []RESPIRATOR ❑HARD HAT <br /> MAILING ADDRESS <br /> � _ ❑TY-VEK []OTHER <br /> - �-- ---•> - - SPECIAL HANDLING PROCEDURES: <br /> CITY,STATE,ZIP- <br /> 4 <br /> • <br /> PHONE <br /> 707 <br /> CONTACT PERSON _ <br /> G/ D <br /> SIGNATURE OF�►�1THORIZED AGENT/TM-E DATE M <br /> WAS �rtYPE 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 FACILITYr _ (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> NAME- <br /> ADI( <br /> AME <br /> ,TRUCK NUMBER <br /> . . . _ .._.. <br /> j' NOTES. <br /> ADDRESS } <br /> • �Svi`lam` /1'f �- r -. <br /> • • CITY,STATE,ZIP' <br /> PHONE _ - <br /> - - _ .�� . � , :� ENO DUMP � _ BOTTOM DUMP —TRANSFER_ _. <br /> SIGNATURE OFAUTHORIZED AGENT OR DRR/ER .. QATEROLL-0FF(S)'� ❑ ❑ ❑ ❑ <br /> � FLATBED '.. :VAN DRUMS -_ <br /> FORWARD INC. LANDFILL culcYA�to .; <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 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 :, :;;k � �;t BIO AERA_TE StOCKPI 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 /> .:i <br /> - • REMARKS - - - <br /> ❑NON-FRIABLE <br /> ASBESTOS <br /> FACILITY TICKET NUMBER - - -> <br /> ❑ WOOD <br /> SIGN,ATURE OF AUTHORIZED AGENT DATE__ _. <br /> ❑ ASH <br /> 7�'; `7 ❑ 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 '2091982-4298 MANIFEST * 3 5 0 119 <br /> GENERATOR COPY <br />