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1 � FORWARD ., NON-HAZARDOUS WASTE MANIFEST <br /> �a <br /> INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY <br /> 1 } <br /> JOB ACCEPTANCE N0. 952000 <br /> GENERATOR , REQUIRED PERSONAL PROTECTIVE EQUIPMENT _ <br />' <br /> [:]GLOVES ❑GOGGLES [:]RESPIRATOR ❑f-IARD HAT <br /> MAi [Wg ADDRESS ❑TY-VEK ❑OTHER <br /> "w—s — <br />' ■ Ct-I Y� Y^�P T SPECIAL HANDLING PROCEDURES <br /> � ''eeegsx ,r1 <br /> IGNATUF7 'OF AUTI•,iORIZE�D RCEWj/TITS i I ° DATE <br /> 'REMVINQFACILITY <br /> Ii <br />' ❑ SLUDGE <br /> ■ ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> ❑ DISPOSAL 501E ❑ 9999 SOUTH AUSTIN ROAD <br /> El CONSTRUCTION SOIL ❑ ASH ASH <br /> ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> ( NEtATiIG'FIII,IIY' _', ` (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> ,NAME ``F I '+ la„= ,, TRACTOR LIC # r"���t �"”` � TRUCK NUMBER <br /> O �� - <br /> r = <br /> TRAILER LIC it <br /> , <br /> I�I �! 1A�E,tZIP' ! s t TRAILER LIC' <br /> I + P + w <br /> H 1 i '� _ _ " ! END DUMP BC)T T©M DUIUIF' '' ,' 'TRANSFER <br /> i <br /> }' 1 <br /> jSIG�IlRE £ ;g1THOI I PAG�N�`�I�DRIVFR ',DATE�E ; '�,� ROLL-OFF(S) "-,FLAT-BED V/�A� � �'� �3 ,li' <br /> 1 <br /> FORWARD INC. LANDFILL 'QUBIC YARDS <br /> Forward shall have no obligation to accept the waste it weather or other <br /> conditions impair the safe and effective disposal of the waste or if the waste =QISPOSAI;. METHDD, (TO BE COMPLETF.�B�'°FORWARD) <br /> impairs the safe and effective operation of the Landfill Forward shall use , , r „, 3 <br /> reasonable efforts to promptly notify Disposer of its inability to accept the ' I718POS1W i BIO,' Akk�TE!STS XPILE S OTkfEf3( ' <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 /> the waste ❑ SLUDGE <br /> ■ <br /> ❑ NON-FRIABLE <br /> MCLITYTIQ f ASBESTOS <br /> I i <br /> ❑ WOOD <br /> tSINATURE'3Fl�U;tlOR�AGENT ` DATE ; <br /> a' a ❑ ASH <br /> I Y r r+ a — <br /> 1. <br /> i <br /> ;e' t ❑ OTHER <br /> ISCHEDULING FAUST 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 /> Fol(c9511NH)6-e6 SALES COPY MANIFEST # C 7 1 9 <br />