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FORWARD NON-HAZARDOUS WASTE MANIFEST <br /> INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. Y '95+2000 <br /> GENERATOR- a _ ,,-� REQUIRED PERSONAL PROTECTIVE EQUIPMENT„ ; <br />' ❑'GLOVES [JGOGGLES [:]RESPIRATOR D+iARD HAT <br /> MAILING ADDRESS '�-"' S = ❑TY-VEK ❑OTHER <br /> ,CITY,STATE,ZIP, ! SPECIAL HANDLING PROCEDURES <br /> 1 • <br /> • <br /> CyT4C,t'PE,ROj`" L47 16 <br /> � <br /> I EJi r6FIA>:J }WrZED`AQENTF4�'pCL E s� r IRATE <br /> :WASfiE1TYPE� ! r 1'` t`c °' r , E !' Rf=CEIVINP FAC]LITY 81 <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 /> tENO�ATING,FA�ILITY _ (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> TRACTOR LIC TRU.CKINUMBER;`` " <br /> t 1 E <br /> TRAILER LIC # <br /> IC1TY STATIC'ZIP't ,` TRAILER LIC_# <br /> • fi C v }t 4 ' 1 <br /> ONONE[+,=f� _ � '° _ END DUMP BOTTOM DUMP° .s. ,+TRANSFER ; <br /> ❑ ❑ ° <br /> !S((aIS TUI E,�I?�AU#iORIZEI�'AGEW,,rf, DRIVER DATE is /' ROLL-OFFS) ` FLATANED i [ VAN �';+ ®R IS== s <br /> i ❑ ❑ ❑ ❑ <br /> f , t <br /> e. a'l' iF3 • 4 e T � T[ �'a � �t !' M� i <br />' FORWARD INC. LANDFILL CUBIC,YARDS ` , '[' !'i a , ' ' ,�5'€";��{; ,I��I�;,'n•=`�,�'�, <br /> Forward shall have no obligation to accept the waste if weather or other <br />' conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL MIrTLap` (TO1'$E GOMPLE I1;Q BY F F�W�9D)`! <br /> impairs the safe and effective operation of the Landfill Forward shall use Pp =,814 ARAT>± SICJCE4PIPF ``IQFIER� <br /> reasonable efforts to promptly notify Disposer of its inability to accept the ^ <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 />' conditions are expected to change such that Forward will be able to accept <br /> the waste ❑ SLUDGE <br /> • � ASKS;' a�i;sf � =E "t' + rF �€ f r '� ' r [ t ` <br /> NON-FRIABLE <br /> ❑ ASBESTOS <br /> IF <br /> AOIEaT1f, 1CKET NURUIRER` , ' <br /> ❑ WOOD <br /> `SIGNATURE OF AYTHORFZED AGENT ' DATE ' <br /> ❑ ASH <br /> ❑ OTHER <br />' SCHEDULING MUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL • 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(cssi,NH)a-ss SALES COPY MANIFEST # <br />