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FORWARD <br />1Nr. JOB ACCEPTANCE NO. <br />NON-HAZ, JOUS WASTE MANIFEST <br />WASTE TREATMENT AND DISPOSAL FACILITY <br />1CMM — C% <br />GENERATOR ,. <br />l�ry <br />REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br />[_]GLOVES ❑GOGGLES []RESPIRATOR ❑HARD HAT <br />C L.••} L'i o -4S7`I� <br />MAILING ADDRESS <br />❑ TY-VEK ❑OTHER <br />v V <br />CITY, S1ATF— P <br />SPECIAL HANDLING PROCEDURES: <br />- PHONE _ <br />�L- Vic, <br />CONTACT PERSON <br />SIGNATURE OF AUTHfdRIZEDAGT / TITLE DATE. <br />41-�AF <br />• WASTETYPEi <br />_. -:: ,r: <br />RECEMNG FACILITY <br />❑ SLUDGE <br />❑ TREATMENT SOIL <br />❑ NON -FRIABLE ASBESTOS <br />FORWARD INC. LANDFILL <br />• DISPOSAL SOIL <br />❑ WOOD <br />9999 SOUTH AUSTIN ROAD <br />❑ CONSTRUCTION SOIL <br />❑ ASH <br />❑ OTHER <br />MANTECA, CALIFORNIA 95336 <br />(209) 982-4298 PHONE <br />GENERATING FACILITY-. _..- � <br />(209) 982-1009 FAX <br />NAME <br />V4.Z.- <br />NOTES_:..:.TRUCK NUMBER <br />ADDRESS _ <br />• <br />• CITY, STATE, ZIP <br />. <br />END DUMP, BOTTOM DUMP-- :..._:TRANSFER <br />PHONE.. <br />:.. <br />.. _ _ <br />_ ❑ _ ❑ � <br />SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE' . y <br />ROLL-OFF(S) FLAT-BED VAPL DRUMS <br />FORWARD INC. LANDFILL <br />cuBlc YARDS <br />Forward have to the if <br />shall no obligation accept waste weather or other <br />conditions impair the safe and effective disposal of the waste or if the waste <br />DISPOSAL METHOD: <br />(TO BE COMPLETED <br />BY <br />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 <br />�,� �; <br />DISPOSE BIO_ AERATE <br />STOGKPIL.E <br />. OTHER <br />waste for any reason. If Forward's refusal to accept the waste is based on <br />Forward <br />SOIL <br />weather or other site conditions, shall notify the Disposer when site <br />conditions are expected to change such that Forward will be able to accept <br />the waste. <br />❑ SLUDGE <br />• <br />REMARKS <br />❑ NON -FRIABLE <br />ASBESTOS <br />FACILITY TICKET NUMBER <br />❑ WOOD <br />- SIGNATURE OF AUTHORIZED AGENT DATE <br />❑ ASH <br />OTHER <br />TO EXPECTED ARRIVAL ANY UNSCHEDULED LOADS ARE <br />SCHEDULING MUST BE MADE PRIOR TO 4:00 P.M. THE JAY PRIOR <br />SUBJECT TO REFUSAL 'UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST <br />BE SCHEDULED WIT'ri THE LANDFILL THE DAY BEFORE. <br />TO SCHEDULE CALL ;2091 982-1298 <br />MANIFEST # 35081 <br />GENERATOR COPY <br />