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1 <br />NON-HAZ, _JOUS WASTE MANIFEST <br />WASTE TREATMENT AND DISPOSAL FACILITY <br />•FWWARD <br />INC. .SOB ACCEPTANCE NO. [C,, l.i — -2 Q cj <br />GENERATOR <br />REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br />C— 4 r,4 <br />❑ GLOVES []GOGGLES ❑RESPIRATOR []HARD HAT <br />MAILING ADDRESS <br />❑ TY-VEK ❑ OTHER <br />70 -6� <br />SPECIAL HANDLING PROCEDURES: <br />CITY, STATE; ZIP <br />• {71 O <br />- PHONE <br />' 707 3Yy 6?'7Z <br />CONTACT PERSON <br />_ lz LL fLK' /7c%q <br />SIGNATLYRt OF AUTHORIZED AGENT / TITLE DATE <br />n f <br />* <br />WASTE TAPE <br />RECEIVING FACILITY „ <br />❑ TREATMENT SOIL <br />❑ SLUDGE <br />❑ NON -FRIABLE ASBESTOS <br />FORWARD INC. LANDFILL <br />• ❑ DISPOSAL SOIL <br />❑ WOOD <br />9999 SOUTH AUSTIN ROAD <br />❑ CONSTRUCTION SOIL <br />❑ ASH <br />•• <br />❑ OTHER <br />MANTECA, CALIFORNIA 95336 <br />(209) 982-4298 PHONE <br />GENERATING FACILITY <br />C <br />(209) 982-1009 FAX <br />NAME. .. _ . _ <br />NOTES: TRUCK NUMBER <br />ADDRESS <br />• CITY, STATE, ZIP17 <br />PHONE - <br />END DUMP BOTTOM DUMP ',- ­.1 . ,-.1 . TRANSFER <br />❑ El <br />SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE <br />ROLL -OFFS) FLAT-BED VAN . DRUMS <br />El ❑ ❑ ❑ <br />7k /a -42 7- 9� <br />FORWARD INC. LANDFILL <br />CUBIC) YARDS <br />if <br />Forward shall have no obligation to accept the waste weather or other <br />DISPOSAL METHOD: <br />(TSD BE COMPLETED BY <br />FORWARD) <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 />DISPOSE BIO AERATE ISTOC <br />OTHER <br />waste for any reason. If Forward's refusal to accept the waste is based on <br />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. <br />❑ SLUDGE <br />REMARKS <br />• <br />❑ NON -FRIABLE <br />_ <br />ASBESTOS <br />FACILITY TICKET NUMBER <br />❑ WOOD <br />- SIGNATORE',OF AUTHORIZED AGENT DATE <br />/' <br />❑ ASH <br />❑ OTHER <br />SCHEDULING MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR <br />TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br />SUBJECT TO REFUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST <br />BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br />TO SCHEDULE CALL (209) 982-4298 <br />p <br />MANIFEST* 31 I0 O J <br />GENERATOR COPY <br />