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FORWARD NON-HAZARDOUS WASTE MANIFEST <br /> I N C O R P O R A T E D WASTE TREATMENT AND DISPOSAL FACILITY <br /> JCB ACCEPTANCE NO. 960 ':= <br /> GEKRATOR' ' 4 T REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> ❑GLOVES [:]GOGGLES ❑RESPIRATOR ❑'HARD HAT <br /> 1NG`ADDRESS f E]TY-VEK <br /> ]OTHER <br /> W(U <br /> - . <br /> GITY STATED,ZIP SPECIAL HANDLING PROCEDURES <br /> � r ' F <br /> • <br /> OH <br /> ONE, 1' <br /> > r 3 If 7�-J <br /> I �PQNTAC1j EF,4SON,A <br /> mATuOF.OF,.,�uTHDRIZ�D`AGENT/,TMIZ I " x DATE E� <br /> a'IArAA E _ FSE r „ t'y' z,„A , r RECEIVING FFAGILfTY ' <br /> I ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> * ❑ DISPOSAL SOIL ❑ 9999 SOUTH AUSTIN ROAD <br /> I <br /> F1 CONSTRUCTION 501E ❑ ASH ASH <br /> ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> 1GENERAMW FACILITY F F` (209) 982-4298 PHONE <br /> ` (209) 982- 1009 FAX <br /> IWME y, TRACTOR I..IC .v� " � , m, TRUCK NOMBER <br /> i <br /> ~ , <br /> TRAILER LIG # <br /> • riVff STATE,,Zip,, <br /> TATEYL7i7, S!i O t , TRAILER <br /> LIC'* A A <br /> 'PHNE END(SUMP BOTTOM DUMP TRANSFE[k '> <br /> 1S1GNq'�UR�E OF;AI 1 ft 1ZEDGAGI}NT R I RIVEF ' '; DATE ', RO' OFF{G] FLAT-,BED YA& DROMS� ' <br /> i ❑ ❑ ❑ ❑ <br /> FORWARD INC, LANDFILL CUB1G'YAROS " _ <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 U0 Bir f.tOMPLEF�VaY FOR, <br /> 1 impairs the safe and effective operation of the Landfill Forward shall use _ _ _ r <br /> 11 reasonable efforts to promptly notify Disposer of its inability to accept the �' ,,, DISP'O'SE ? A'' RT '� t, � �R"I <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 /> 3 1 J, Ei NON-FRIABLE <br /> IFAdLITY,TICKEI',NOBER'E , ' ' A'< : 1 } ASBESTOS, <br /> I ❑ WOOD <br /> 'SIGz� TURE OF AL'1THO1A#ZG6 AGENT,, DATE <br /> ❑ ASH <br /> ❑ OTHER <br /> ISCHEDULING 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 /> F01(C9511NH)6-96 SALES COPY MANIFEST # C <br />