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(f .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. ,�521000 <br /> GENERATOR 'REQUIRED PERSONAL PROTECTIVE EQUIPMENT' <br /> ❑GLOVES [-]GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> MAILING ADDRESS ❑TY-VEK [—]OTHER <br /> COY &TAIIE 711P SPECIAL HANDLING PROCEDURES <br /> I <br /> r <br /> IGI�IAifOR6OR AUTMORIZEb,, CdENT'l, TITLE', 1 ' ' DATA, <br /> "IVITYur <br /> t RECEIVING FAGLITY� [ 1of <br /> 5 i <br /> I , ❑ SLUDGE <br /> [_1 TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • ❑ DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> •• ❑ STOCK PILE .h ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERA,T1NGFACIUTY ' ,=1 (209) 982-4298 PHONE <br /> 5 P (209) 982- 1009 FAX <br /> I NAME yX4'1�'�i! 7i k, ' y3YL EY1,AL,�4 ' ' 1 1=i'1fiG OR LIC # <br /> 'TRUCK NUMBER, <br /> li;i+.•• <br /> DRI^5 =� TRA[IER LIC # � & <br /> .,CITY,,STAII q j�� ,a w �' 1` 1' TRAILER'LIC,# <br /> -', NQ D#1MP,, BOTTOM DUMP - F= 'oTRANSFER <br /> _ ES�GI�CkiT 11 F F A JT} RI O ACiEM OR❑RIVER,t DATE ,' s: ROLL-'OFF(S) FLAT-BED ;,VAN, ,',,r`� DRUMS <br /> Y CUBIC <br /> V <br /> FORWARD INC. LANDFILL CUBIe: ICAIMS <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.MIY f HOD, ,TO 13E'CLOMP ED'8Y[*�3RWAID�=' <br /> Impairs the safe and effective operation of the Landfill Forward shall use 3, �& k > 1. <br /> reasonable efforts to promptly notify Disposer of its inability to accept the yl °k RfSR05l= 3,`B10(' RERAC>r STOPII t OTfI t <br /> waste for any reason If Forwards refusal to accept the waste is based on <br /> weather or other site conditions Forward shall notify the Disposer when site ❑ SOIL <br /> ' conditions are expected to change such that Forward will be able to accept <br /> I the waste [] SLUDGE <br /> • c ;L l t- s ,y li I s l€I t 1=t 1 is € s s <br /> NON-FRIABLE <br /> �''A/'+� �/ 7/f+��f �� ❑ ASBESTOS <br /> I�P1SiI1..t iT€c 'ETNUMBER tli�s�,i r ! €, 11 {{ j li. I ,Ix; xl.F <br /> ❑ WOOD <br /> iSICaNATxUF qof AUfHORIZED,AGENT <br /> ❑ ASH <br /> r <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 /> SALES COPY MANIFEST # C <br /> tr <br />