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FORWARD 4z ° ., NON-HAZARDOUS WASTE MANIFEST <br /> Vo INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY <br />' JOB ACCEPTANCE NO. � �� , <br /> GENERATOR: REQUIRED PERSONAL:RROTECTIVE EQUIPMENT <br />' MAILING A[�DRESS � ❑ <br /> DG <br /> OVES Y- VEK [_]OTHER <br /> OLES [—]RESPIRATOR HARD HAT <br /> CITY,'STATE,ZIP SPECIAL HANDLING PROCEDURES <br /> • S <br /> • <br /> �[f` <br /> HONE it <br /> ' F <br />' CONTACT PERSON <br /> SIGNATURE OF`AI}THQRIZED AgENT't'TM-E DATE <br /> _ _ r <br /> . y <br /> i k <br /> ;WAgE,TYP i = , `�' RECEIVING FACILITY S <br />' ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • ❑ DISPOSAL SOIL ❑ 9999 SOUTH AUSTIN ROAD <br />' ❑ CONSTRUCTION SOIL ❑ ASH ASH <br /> •• ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br />' GNERATmIGI= clllr,Y Nr 1 (209) 982-4298 PHONE <br /> " (209) 982- 1009 FAX <br /> 'NAME TRACTOR LIC. a " , - ,..; SI}TRUCK NUMBER x <br /> M 1 t 1i <br />' ADDF(ESS x= _ TRAILER LIC # l <br /> • F r Y <br /> aICITYrSTATE, ZIP }EI TRAILER LtC # <br /> END DUMP BOTTOM DUMP TRANSFER <br /> ❑ ❑ ❑ <br /> SIG NATE ,"C}F AE} 4 RtZIr :CGF '� V 1 DATE ROLL-om. s) FLAT-BED3 VAN, _ DRUMS <br />' * ❑ ❑ ❑ ❑ <br />' FORWARD INC. LANDFILL CUBIC YMDS <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 'I DISPOSAL METHOD (TO BE COMPL�D'1 Y FORWAt�D� <br />' impairs the safe and effective operation of the Landfill Forward shall use ,_ 9 r <br /> reasonable efforts to promptly notify Disposer of its inability to accept the CSISPQSE E3t0' AERA; > S7FG1fPllE QTHEE?,5' <br /> waste for any reason If Forwards refusal to accept the waste is based an <br /> weather or other site conditions, Forward shall notify the Dtsposer when site ❑ SOIL <br /> • conditions are expected to change such that Forward will be able to accept <br />' the waste ❑ SLUDGE <br /> • �E� I�fA;RKS1,t`�,�I'I` `'I'I � ,��i;; ,s '; ,,,� t ,`i� � s,r ,� _ ,, '=I t t , <br /> ❑ NON-FRIABLE <br /> ,I?A�IU`f�1f,xTIC��T�Nlk�MBEFi��'01, ��' I. :S� <,il E I t ;I ' t ASBESTOS <br /> ❑ WOOD <br /> ',Std>�IAT RE;©R A,UAfT,PRVED AGENT',, ;I, E DATE=, <br /> r <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 {G8511NH)6 96 SALES COPY MANIFEST # Com " 1 a3 <br />