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�. ` NON-HAZti..JOUS WASTE MANIFEST <br />���� WASTE TREATMENT AND DISPOSAL FACILITY <br />.FORWARD <br />/NC. JOB ACCEPTANCE NO. , — <br />GENERATOR <br />Ll.� L <br />MAILING ADDRESS,.� <br />REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br />[]GLOVES[]GOGGLES[—]RESPIRATOR[]HARD HAT <br />❑ TY-VEK []OTHER <br />CITY, STATE, ZIP <br />SPECIAL HANDLING PROCEDURES: <br />- PHONE <br />CONTACT PERSON <br />;/C C_ ii,�'_ /moi 9c �� 11 <br />SIGNATURE OF AUTFPRIZED AGENT / TITLE DATE. <br />WASTE TYPE <br />RECEIVING FACILITY <br />❑ TREATMENT SOIL <br />❑ SLUDGE <br />❑ NON -FRIABLE ASBESTOS <br />FORWARD INC. LANDFILL <br />• Q DISPOSAL SOIL <br />❑ CONSTRUCTION SOIL <br />❑ WOOD <br />❑ ASH <br />9999 SOUTH AUSTIN ROAD <br />•• <br />❑ OTHER <br />MANTECA, CALIFORNIA 95336 <br />—4298 PHONE <br />GENERATING FACILITY(209)982 <br />(209) 982-1009 FAX <br />NAME _.. :: - r .:, <br />ADDRESS - <br />.. NOTES: TRUCK NUMBER <br />• CITY, STATE, ZIP _ <br />PHONE <br />SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE <br />END DUMP _ BOTTOM DUMP TRANSFER <br />11 11 12r— <br />ROLL-0FF(S)' FLAT-BED VAP. DRUMS <br />El 0 <br />FORWARD INC. LANDFILL <br />CUBIC YARDS.. _ <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 <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 />waste for any reason. If Forward's refusal to accept the waste is based on <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. <br />REMARKS <br />FACILITY TICKET NUMBER <br />IARDs <br />DISPOSAL METHO <br />SOIL <br />: (TO BE COMPLETED <br />DISPOSE _ BIOAERATE <br />BY <br />SiDCKPItE <br />FORWARD) <br />OTHER <br />[]SLUDGE <br />NON -FRIABLE <br />❑ ASBESTOS <br />❑ WOOD <br />SI44AT0RE OF AUTHORIZED AGENT DATE <br />❑ ASH <br />_ <br />❑ OTHER <br />NEW - <br />TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br />BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br />SCHEDULING MUST BE ,MADE PRIOR TO 4:00 P.M. THE DAY PRIOR <br />SUBJECT TO REFUSAL UPON ARRIVAL. ONGCING DAI127 DELIVERIES .MUST <br />TO SCHEDULE CALL !2091 982-4298 <br />GENERATOR COPY <br />MANIFEST* 35095 <br />