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F*RWARD NON-HAZ _ .JOUS WASTE MANIFEST <br />WASTE TREATMENT AND DISPOSAL FACILITY <br />INC. JOB ACCEPTANCE NO. Il Yl — / z�6 <br />GENERATOR I /j �i1 <br />REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br />L/L, <br />❑GLOVES []GOGGLES ❑RESPIRATOR []HARD HAT <br />MAILING ADDRESS „ <br />❑ TY-VEK []OTHER <br />_ <br />lam✓ JLC. - �F 3 <br />SPECIAL HANDLING PROCEDURES: <br />CITY, STATE, Z,IP <br />- <br />PHONE <br />CONTACT PERSON <br />1�0_/ L1_otIlJ�'1..._ <br />SIGNATURE OF AUTHORIZED AGENT / TITLE DATE. <br />f <br />WASTE -VPE <br />RECEMNG FACILITY <br />❑ TREATMENT SOIL <br />❑ SLUDGE <br />❑ NON -FRIABLE ASBESTOS <br />FORWARD INC. LANDFILL <br />• <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 />' r209) <br />982-1009 FAX <br />NAME. I' J r �/} �� � <br />NOTES: TRU CK NUMBER <br />r <br />ADDRESS <br />CITY, STATE, ZIP" <br />. <br />PHONE .._ :, <br />END DUMP BOTTOM DUMP - - TRANSFER <br />- <br />. ,. 16—� <br />SIGNATURE O AUTHO D AGENT OR DRIVER D <br />_ <br />--'FLAT-BED ;,*p.VAN'.DRUMS <br />ROLL <br />❑-0FF(S) <br />❑ ❑ <br />l <br />FORWARD INC. LANDFILL <br />cuBIc.YAR/o/s -_ <br />e, - <br />Forward shall have no obligation to accept the waste if weather or other <br />+ <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 />DISPOSE ,_,.BIO AERATE <br />STOCKPLE <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 />NON -FRIABLE <br />❑ <br />_ <br />ASBESTOS <br />_ <br />FACILITY TICKET NUMBER :. <br />= <br />❑ WOOD <br />- SIGNATUREOF AUTHORIZED AGENT DATE <br />❑ ASH <br />-j <br />��f� — — J! �� <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 />MANIFEST # 3 0089 <br />GENERATOR COPY <br />