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NON—HAZ. SOUS WASTE MANIFEST - FORWARDWASTE TREATMENT AND DISPOSAL FACILITY /NC. JOB ACCEPTANCE NO. Cti,y — G GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT []GLOVES ❑ GOGGLES [:]RESPIRATOR ❑HARD HAT MAILING ADDRESS ❑ TY-VEK []OTHER PO 7S5 - CITY, STATE ZIP SPECIAL HANDLING PROCEDURES: - PHONE • 7c.7 �7Y ro V7_1 CONTACT PERSON SIGNATURE OF AUWRIZED AG�;VT / TITLE DATE WASTE PE RECEIVING FACIUTY J ❑ SLUDGE ❑ TREATMENT SOIL ❑ NON -FRIABLE ASBESTOS FORWARD INC. LANDFILL • [� DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD ❑ CONSTRUCTION SOIL ❑ ASH '• ❑ OTHER MANTECA, CALIFORNIA 95336 (209) 982-4298 PHONE GENERATING FACILITY :!fv,� (209) 982-1009 FAX NAME NOTES: _ ... -..... - TRUCK NUMBER ADDRESS • CITY, STATE; ZIP ;__END DUMP BOTTOM DUMP TRANSFER PHONE : >- _ _ • • SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE , ROLL-OFF(S) . _ FLAT BED ' . VAN DRUMS FORWARD INC. LANDFILL CUBIC, YARDS Forward shall have no obligation to accept the waste if weather or other conditions impair the safe and effective disposal of the waste or if the waste impairs the safe and effective operation of the Landfill. Forward shall use DISPOSAL METHOD: (TO BE COMPLETED BY FORWARD) reasonable efforts to promptly notify Disposer of its inability to accept the DISPD�_ 1316AERATE SMCKPILE OTHERwaste for any reason. If Forward's refusal to accept the waste is based on SOIL) weather or other site conditions, Forward shall notify the Disposer when site ' conditions are expected to change such that Forward will be able to accept the waste. ❑ SLUDGE REMARKS NON -FRIABLE ❑ ASBESTOS FACILITY TICKET NUMBER ❑ WOOD - SIGNArORE OF AUTHORIZED AGENT DATE ❑ ASH V 7� — ❑ OTHER SCHEDULING MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE SUBJECT TO REFUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. TO SCHEDULE CALL 1,209) 982-4298 MANIFEST # 35076 GENERATOR COPY