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NON-HA _j ,JOUS WASTE MANIFEST <br /> r F&R WARD WASTE TREATMENT AND DISPOSAL FACILITY <br /> /NC. JOB ACCEPTANCE NO. C w - J-2 VC) <br /> GENERATOR REQUIRED PERSONAL PROTECTNE EQUIPMENT <br /> C C.4 --I-)C: C tv ooP Q/c 45T A_ []GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> MAILING ADDRESS ❑TY-VEK ❑OTHER <br /> O � 7S SPECIAL HANDLING PROCEDURES: <br /> CITY,STATE,ZIP <br /> PHONE <br /> 20 3 7(1 ( V.71 <br /> CONTAcPERSON <br /> 6 /cc It'k Dc/Vc <br /> SIGNATURE OF AUTHORIZED AGENT /TITLE DATE <br /> ICA A <br /> WASTE T 'PE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWA9a ICT LANDFILL <br /> • [3 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 GtG rP1 NOTES TRUCK NUMBER <br /> ADDRESS N! { <br /> • CITY,STATE,ZIP <br /> . PHONE r "- ::, ;• ,.' DUMP _BOTTOM DUMP TRANSFER <br /> 1 _ _._a ...:Y. - <br /> ❑ ❑ ❑ <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFF(S) r FLAT-BED VAN DRUMS <br /> 7k ?i E] 11 11 ❑ <br /> FORWARD INC. LANDFILL CUBICYARDS <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 M OD: (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 }L _ DISPOSE BIO _ AERATE 9=KRLE OTHER <br /> waste for any reason. If Forward's refusal to accept.the waste is based orr— f ' 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 t <br /> �� ❑ WOOD <br /> SIGNATURE OF AUTHORIZED AGENT <br /> 1 ' ❑ ASH <br /> 7 '`I [] OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4:00 R.M. THE DAY 'PRIOR TO EXPECTED ARRIVAL + ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL UPON ARRIVAL. ONGOING CAILY DELIVERIES MUST BE SC:iEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> TO SCHEDULE CALL ;209) 982-4298 MANIFEST * 35065 <br /> GENERATOR COPY <br />