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NON-HAZ 'DOUS WASTE MANIFEST <br /> -FORWARD 'RD WASTE TREATMENT AND DISPOSAL FACILITY <br /> INC. JOB ACCEPTANCE NO. <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> C!_4, S_� C Cu CwQ LlC iT SM []GLOVES ❑GOGGLES ❑REPIRATOR ❑HARD HAT <br /> MAILING ADDRESS ❑TY-VEK []OTHER <br /> �U l5 a X SPECIAL HANDLING PROCEDURES: <br /> CITY,STATE,ZIP <br /> • /flu WS r/4 <br /> i - PHONE .: <br /> 7 7Z y <br /> CONTACT OERSON�/Y <br /> SIGNA - <br /> ��` <br /> RF AUTH�fjIZED AGENT/TITLE DATE <br /> j WASTE.TIYj?E / - -RECEIVING FACILITY... <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • Q DISPOSAL SOIL ❑ WOOD gggg 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 /> I- - <br /> NAME NOTES <.�_ ...�a•w. _ TRUCK N�UjMBER <br /> ADDRESS �'� y -• -^ - — 7J <br /> -c. ._ <br /> . • CITY,STATE,ZIP <br /> • <br /> PHONE END DUMP: BOTTOM DUMP : .: TRANSFER <br /> SIGNATURE OF AUTHO�ZED AGENTOR DRNER -; DATE"- - .._ FROLE-0FF(SJ FLAT=BED - RUMS <br /> _: .VAN- .. D <br /> ❑ ❑ y .� ❑ Cl <br /> CUBIG YARDS- . <br /> FORWARD INC. LANDFILLv c <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 8Y FORWARD) <br /> impairs the safe and effective operation of the Landfill. Forward shall use <br /> w DISPOSE BIO- AERAlE OTHER" <br /> reasonable efforts to promptly notify Disposer of its inability to accept the <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 /> ' ;-_a.,• :. : _. ❑ ASBESTOS <br /> FACILIT,y TICKET NUMBER = __ <br /> ❑ WOOD <br /> SIGNATURE 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 (2091 982-4298 35052 <br /> MANIFEST # <br /> GENERATOR COPY <br />