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NON -HAZE„ ,JOUS WASTE MANIFEST <br />Ulm-PFRWARD WASTE TREATMENT AND DISPOSAL FACILITY <br />INC JOB ACCEPTANCE NO. 7,-4) <br />GENF,MTOR , r, j <br />REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br />t� 1? 'rim.' �`t; `" •'r'� ' ^--� <br />[-]GLOVES ❑GOGGLES []RESPIRATOR ❑HARD HAT <br />MAIUN,a AWRESS <br />❑ TY-VEK [:]OTHER <br />/ �• <br />SPECIAL HANDLING PROCEDURES: <br />CITY,, AYI--Zi <br />- PHONE <br />•37'74- <br />CONTACT PERSON <br />n /1 <br />SIGNATURE OF AUTHOI�F D AGENT/ TITLE DATE. <br />.. � ?I ,; 'tri. t � f'U ,7? <br />WASTE TYPE/')'RECEIVING <br />FACILITY <br />❑ SLUDGE <br />• ❑ TREATMENT SOIL <br />❑ NON -FRIABLE ASBESTOS <br />FORWARD INC. LANDFILL <br />• aCLSOIL <br />❑ <br />9999 SOUTH AUSTIN ROAD <br />❑ CONSTRUCTION SOIL <br />❑ ASH ASH <br />•• <br />❑ OTHER <br />MANTECA, CALIFORNIA 95336 <br />(209) 982-4298 PHONE <br />GENERATING FACILITY. <br />(209) 982-1009 FAX <br />NAME f - <br />NOTES. TRUCK NUMBER <br />ADDRESS <br />% <br />CITY, STATE, ZIP <br />PHONE <br />END DUMP BOTTOM DUMP TRANSFER <br />SIGNATURE OF THORIZED. AGENT OR DRIVER DATE <br />ROLL-OFF(S) FLAT-BED VAN DRUMS <br />El <br />FORWARD INC. LANDFILL <br />CUBIC YARDS <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 />impairs the safe and effective operation of the Landfill. Forward shall use <br />DISPOSAL METHOD: (TO BE COMPLETED BY FORWARD) <br />reasonable efforts to promptly notify Disposer of its inability to accept the <br />DISPOSE BIO . AERATE OTHER <br />waste for any reason. If Forward's refusal to accept the waste is based on <br />I5101 <br />SOIL / <br />weather or other site conditions, Forward shall notifythe Disposer when site <br />u <br />u <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 />ASBESTOS <br />FACILITY TICKET NUMBER <br />❑ WOOD <br />- SI(oNATURE OF AUTHORIZED AGENT DATE <br />❑ ASH <br />,� -- — j �'�� <br />�; <br />❑ OTHER <br />SCHEDULING MUST BE MADE PRIOR TO t:C0 P.M. THE DAY PRIOR TC EXPECTED ARRIVAL + ANY UNSCHEDULED LOADS ARE <br />SUBJECT TO REFUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL 7HE DAY 3EFCRE. <br />TO SCHEDULE CALL (209) 982-4298 <br />MANIFEST # 3 5 J 9 0 <br />GENERATOR COPY <br />