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t ` J WARV NON-HAORDOUS WASTE MANIFEST <br /> 1 r C O R I' O R A T E D WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE N0. : <br /> [ ]GLOVES <br /> VE PERSONAL PROTECTIVE SEQUIPMENT <br /> �i �,� O cJ GLOVES GOGGLES RESPIRATOR HARD HAT <br /> MAI II'V�G ADDRESS^ ❑TY-VEK []OTHER <br /> SPECIAL HANDLING PROCEDURES: <br /> • 'CITY' TC' Zk� f <br /> COWT T PE SON <br /> SIGN TU F AUTHORIZED / TITLE DATE <br /> /OG <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GE RATING FACILITY (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> TRACTOR f'LIC. � r� TRUCK NUMBER Y <br /> AD , <br /> 5E)S TRAILER LIC. # !n — <br /> 6 . /20 > -3s7> <br /> • CITY,STAT ,ZIP TRAILER LIC. # <br /> ON / END DUMP BOTTOM DUMP TRANSFER <br /> Q Ur A ❑ ❑ <br /> SIG E OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> ❑ ❑ ❑ ❑ <br /> i_"w <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste if weather or other f <br /> conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL METHOD: (TO BE COMPLETED BY 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 DISPOSE BIO AERATE STOCKPILE OTHER <br /> waste for any reason. If Forward's refusal to accept the waste is based on E] 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. ❑ SLUDGE <br /> REMARKS <br /> NON-FRIABLE <br /> ❑ ASBESTOS <br /> FACILITY TI T NUMBER <br /> ❑ WOOD <br /> SIGNATU AUTHORIZE ENT DATE <br /> �t ! ❑ ASH <br /> IJ �I ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL 0 ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL UPON ARRIVAL.ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> TO SCHEDULE~ CALL(209)982-4298 <br /> F01(C9511NH)6- MANIFEST# 0 7 0 0 6 4 8 <br /> 9g GENERATOR COPY <br />