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NON-HAZr SOUS WASTE MANIFEST <br />FWWARDWASTE TREATMENT AND DISPOSAL FACILITY <br />/NC. JOB ACCEPTANCE NO. <br />GENERATOR J „ <br />REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br />[:]GLOVES ❑GOGGLES []RESPIRATOR ❑HARD HAT <br />MAILING,, ADDRESS <br />[]TY-VEK ❑ OTHER <br />SPECIAL HANDLING PROCEDURES: <br />I Y %�T'p�17T�''� <br />CI_ <br />. "' F- <br />` j, <br />- PHONE <br />j <br />CONTACT PERSON <br />SIGNATURE OF AU);HORIZED AGENT ! TITLE DATE <br />WASTE TYFE <br />RECEIVING FACILITY <br />❑ SLUDGE <br />FORWARD INC. LANDFILL <br />❑ TREATMENT SOIL ❑ NON -FRIABLE ASBESTOS <br />• Q" DISPOSAL SOIL ❑ WOOD <br />9999 SOUTH AUSTIN ROAD <br />❑ CONSTRUCTION SOIL ❑ ASH <br />•• ❑ OTHER <br />MANTECA, CALIFORNIA 95336 <br />(209) 982-4298 PHONE <br />GENERATING FACWT`f,:. <br />(209) 982-1009 FAX <br />NAME.:.. - _ <br />TRUCK <br />NOTES. .,. MBE <br />.� .::z <br />ADDRESS <br />. • CITY, STATE. ZIP <br />END DUMP � :BOTTOM DUMP---- TRANSFER <br />PHONE. .. - - .._. <br />SIGNATOR F AUTHORIZED AG OR DRIVER DATE _ T- . <br />ROLL-0FF(S)'- FLAT-BED _ VAN DRUMS <br />❑ ❑ ❑ ❑ <br />FORWARD INC. LANDFILL <br />cuBlc YARDS <br />Forward shall have no obligation to accept the waste if weather or other <br />DISPOSAL METHOD: <br />(TO BE COMPLETED <br />BY 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 />- ___ <br />DISPOSE BIO <br />OTHER <br />waste for any reason. If Forward's refusal to accept the waste is based on <br />El SOIL <br />JAERATE3TOCt <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 />NON -FRIABLE <br />❑ <br />ASBESTOS <br />FACILITY TICKET NUMBER <br />❑ WOOD <br />- SIGNATURE OF AUTHORIZED AGENT DATE <br />❑ ASH <br />i <br />�' _�-, - - `) '� <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 ,1209) 982-4298 <br />MANIFEST* 35088 <br />GENERATOR COPY <br />