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NON-HAZ. )OUS WASTE MANIFEST <br /> F WARD WASTE TREATMENT AND DISPOSAL FACILITY <br /> INC. JOB ACCEPTANCE N0. [C—i-I M - 0 <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> C(A t. ) L LtI 0 V L�U S��� []GLOVES ❑GOGGLES []RESPIRATOR ❑HARD HAT <br /> MAILING ADDRESS - ❑TY-VEK [:]OTHER <br /> ! S y SPECIAL HANDLING PROCEDURES: <br /> CITY,STATE,ZIP <br /> PHONE ;t, :.... <br /> • <br /> 107 ;7u ty Y7 Z - <br /> CONTACT PERSON _ - = <br /> C,14-4- 11-1C �crv,4t D <br /> SIGNATURE OF AU?}ORI AGENT/TITLE DATE--" <br /> WASTE 7PE. RECEMNG 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 <br /> (209) 982-4298 PHONE <br /> ... .._. .i 4. .gin....-. <br /> Le L"'j, (209) 982-1009 FAX <br /> NOTES ltlT <br /> RUCK NUMB <br /> ERNAME � ? <br /> ADDRESS <br /> � — <br /> • CITY,STATE ZII? -, ` <br /> • z END DUMP BOTTOM DUMP : TRANSFER <br /> PHONE ;.}: x. .� . _ z, .. <br /> ❑ ❑ ❑ <br /> SIGNATURE.OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFF(S) FLATBED VAN. DRUMS <br /> FORWARD INC. LANDFILL CUBr—YARQ;!s- <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 „t;..:-. _.::--;:v . POSE BIO JAERATE 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 /> REMARKS <br /> • ❑ NON-FRIABLE <br /> _- ASBESTOS <br /> FACILITY TICKET NUMBER - _ <br /> �.. . . - - ❑ WOOD <br /> SIGNATURE OF AUTHORIZED AGENT - DATE <br /> ❑ ASH <br /> �1 1; C` - ❑ OTHER <br /> SCHEDULING MUST 3E .MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> Susj,=CT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> TO 3CHEDULZ --ALL k'2091 -982-1298 35051 <br /> GENERATOR COPY MANIFEST * <br />