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FORWARD �F NON-HAZARDOUS WASTE MANIFEST <br /> INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY <br />' JOB ACCEPTANCE N0, S� ` 0(* <br />' ,GENERATOR -" REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> ❑GLOVES ❑GOGGLES ❑RESPIRATOR ❑l1ARD HAT <br /> MAILING ADDRESS ❑TY-VEK [—]OTHER <br /> CMY,STATE, ZIP SPECIAL HANDLING PROCEDURES <br /> a v <br /> PHONO: <br /> F , <br /> T <br /> tbNTACT PERSON <br /> ,$IptoT4JRE,OF AUTHORIZED AGENT f!TITL5 DATE <br /> u <br /> "I RECEMNG FAQLITY <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 />■ GEN5RAT)NOFAC41TY" (209) 982-4298 PHONE <br />■ (209) 982- 1009 FAX <br />' NAMq - TRACTOR LIC # rt' ! ` > TRUCK NUMBED' <br /> ADDRESS , TRAILER UC # <br /> , <br /> .ECTTt'STATE;iiZIP j, TRAILER LIG'# <br />' + IPHQN '•r„. 'S' `z , ,f ,� ' 3 END DUMP BOTTOM DUMP TRANSFER, <br /> , c <br /> 'spr AT PRl t x4THORIZ�D AG'�NT�4VDRIVER , DATf*, ROLL,-CFF(S) FLAT-BED VAN DIF ' S <br /> ❑ ❑ ❑ ❑ <br />' FORWARD INC. LANDFILL Cul YARDS , `' <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 METHOD (TO BE COMPILET�D BY FORWARD !I <br /> impairs the safe and effective operation of the Landfill Forward shall use �"i , ,t h' <br />' reasonable efforts to promptly notify Disposer of its inability to accept the ; f ` ' '' D[SpCS : �Q' A� iACE � '� O n1 <br /> waste for any reason If Forward's refusal to accept the waste is based on SOIL r <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 /> IR1 �IAARK��1`'aI° it + j i sE r c 1 ; H I I i <br /> NON-FRIABLE <br /> �i,�*IL'IT�TICKET�I�IUMBI�R, ''` ', - ❑ ASBESTOS <br /> 1 ', t <br /> t ❑ WOOD <br /> `siGN T6—Rto0-`AbT,H0I2ED,A,GENT',_ � `s ' �, DATES <br /> �x❑ 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 /> FO1(G9511NH)6 96 ce, cc r+nov MANIFI=ST # 7' <br />