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FORWARD NON-HAZARDOUS WASTE MANIFEST <br /> INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY <br />' JOB ACCEPTANCE NO. 9S2000 <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT ` <br />' ❑GLOVES [:]GOGGLES ❑RESPIRATOR ❑++ARD HAT <br /> `MAIWNG ADDRESS t' ❑TY-VEK ❑OTHER <br /> CITY STATE,ZIP SPECIAL HANDLING PROCEDURES <br /> St <br /> ,PHONE'S j <br /> • , 4 <br /> 3CONTACT PERSON'S i <br /> SIdgmklRE CSF AUTHORIZED AGENT TITLE ©ATS <br /> • WAST�T`Ffl€ �+ RECEIVING FACILITY t <br />' ❑ <br /> • ❑ TREATMENT SOIL ❑ SLUDGE <br /> NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • E] DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br />' •• ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> ;GENI_RATINWFACII`ITTY F, (209) 982-4298 PHONE <br /> g ° (209) 982- 1009 FAX <br /> TRACTOR LIC` i",i'r *.� �; TRUCK NUMC3ER � <br /> ADDRESS T` r' TRAILER LIC # <br /> . llITY,,SIP�TE,ZIF, I TRAILER UC # <br /> { <br /> IPHONE,, ` `' ENI:}DUMP BOTTOM DUMP TRANSFER <br /> ❑ ❑ ❑ <br /> ;SJGNATURE QF'AUTHORI7,ED AGENT,C)R=DRII'VER,, DATE' ROLL-OFF(S) FLAT-BED t VAN DRUMS' <br /> ❑ ❑ ❑ ❑ <br /> CUBIC YARDS <br /> FORWARD INC. LANDFILL <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 METHODF, (TO,BE COMPLETED 13Y, ORWARD)t <br /> impairs the safe and effective operation of the Landfill Forward shall use _ s° t = s ' , <br /> �= DISPOSE 1310 A 1,]E 'Si"c�, PfE- <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 sate 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 /> a '.REMA,RKS•r 'i�Fi 3 tt°t'' 3' t �` I z i >`tst ffr �: i <br /> ' NON-FRIABLE <br /> jFAC(LITY',tO T!NUNIBER �r r 4 ,} r ❑ ASBESTOS <br /> ' ref i � t "t 3! z t 4 ��: i s t5 = t <br /> ❑ WOOD <br /> 'gIGNP�T0RE1OFfAfJTf;IQRIZeQ AGLN7, , ,`` ,DATE y ' 1, <br /> ❑ ASH <br /> I - <br /> ` ° fr ❑ <br /> OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL 4, 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 /> Foy(C851 1NH)s-as SALES COPY MANIFEST # C <br /> 7 ,o vJ I <br />