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FORWARD NON—HAZARDOUS WASTE MANIFEST <br /> INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. 4 <br /> GENEf,�ATpR REQUIRED E SONAL PROTECTIVE EQUIPMENT ' <br /> PER, <br /> ` ❑CLOVES [:]GOGGLES ❑RESPIRATOR ❑+iARD HAT <br /> '14141ttg ADDRESS ❑TY-VEK [-]OTHER <br /> 9CETY=S-TA� ZIP SPECIAL HANDLING PROCEDURES <br /> ■ — '� _ya4 atl' <br /> > f <br /> ,CONTACTP&S(bN Y <br /> iS1G AT;q 'O T IORI Eli ACnENT!�T{E '' FDA ,1' ; <br /> 1;,V '1 ,1= RECEIVING Ft?CRI E <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 /> GENE�NG,FACIL# 1� a, (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> --- <br /> 'NAME <br /> + 't>t t 7 ' ' ; TRACTOR OR 1jG ^jlsC Y'i "e..rt TRuck NU03ER •� E <br /> C NAME r s ri i' w l <br /> 1{ afPl]RESS , ;i' ' ' 1 1 ' 7RAILEF1 LIC # <br /> STATE, <br /> T7a <br /> • *'yytF�'�� I Y,•3tE,ZI 3 , ''t i I ' I ` s ' 3 TRAILER LIC # <br /> I • ' <br /> ; ?I110NE;: 1 END DUMP BOTT'©M;DUKAP TRANSFER' <br /> ❑ ❑ ❑ <br /> I IS GNATIJ �F/+AtJTFIQ f*E�#gENT OR DRIVERS„,, DATE ROL t,-OFF(S) fL,AT BeD , 't ],',VAN D4�UV <br /> F ❑ ❑ ❑ ❑ <br /> I ! CLJBI YAH.C�S' t r 1 Y Off ' I i-s sr(i 3 is�3 Ii <br /> FORWARD INC. LANDFILL <br /> Forward shall have no obligation to accept the waste If weather or other <br /> I conditions impair the safe and effective disposal of the waste or If the waste 1 DIEjPOSAL METHOD (To PI-comp LETED'BY;FORWr ARD)� <br /> impairs the safe and effective operation of the Landfill Forward shall use +r , > ,f , , i <br /> 131SPQ5!* (31�1 AE(�AT`£ S7G»' OTFE t;t ' <br /> reasonable efforts to promptly notify Disposer of Its Inability to accept the G f ,;.r ' _y �_ <br /> waste for any reason If Forwards refusal to accept the waste Is based on © SOIL <br /> weather or other site conditions, Forward shall notify the Disposer when site <br /> I conditions are expected to change such that Forward will be able to accept <br /> the waste ❑ SLUDGE <br /> + f I s f I°1 : =Ir _ <br /> EwRK,4,. E, t,I°i i1 ' i I�ii ,,' e I _1+ , t ' t <br /> ■ NON-FRIABLE <br /> ❑ ASBESTOS <br /> I ,,ACILrTyj,TICkE, NUMBER=' t `,, � ;`, "'' ; ❑ WOOD <br /> ISIGATURE,OFJI OTHORIZED AGENT �' + DATE <br /> ❑ ASH <br /> 'k ❑ OTHER <br /> ISCHEDULING 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 /> FO (C951 iNH)6 96 SALES COPY MANIFEST # C s <br />