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(& FORWARD � NON-HAZARDOUS WASTE MANIFEST <br /> INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY <br />' JOB ACCEPTANCE NO. <br />' GENERATOR REQUIREWPERSONAL PROTECTIVE EQUIPMENT[:]GLOVES ❑GOGGLES ❑RESPIRATOR ❑'HARD HAT <br /> AiIAILINGADIjRESS 5 ❑TY-VEK ❑OTHER <br />' CITNY STAVE,ZIP SPECIAL HANDLING PROCEDURES <br /> • r <br /> - PHONE ' 5 <br />' CON°I'AO°PERSON ; <br /> , <br /> ,S)09A 101 E�OF AUTHORIZED AGENT dTITLE DATA' <br /> +h M <br /> • IVAS` ,I Yf'>w '; r RECEIVING FACILITY ' <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 />' GENERATING <br /> FACILITY (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> NAME TRACTOR LIC "�'" avj TRUCK NUMBER <br /> 5 , 5 _ , <br /> I f <br /> ADDRESS s 5 ' _, TRAILER LIC # -r 'A ,�,,V • � � s ``� <br /> • C€Tl� STAT.F Zu 5' ; 5 TRAILER LIG # <br /> PHoqD ,1F,jjrt,;` 5 END DUMP BOTTOM DUMP TRANSEER_, <br /> SIGNATURrm PF AUTRORIZED AQENT OR DRIVER' DATE ROLL-OFF(§} FLAT-BED' DRUMS A <br /> El El 1-1 <br /> rr <br /> CUBtC'YARDS <br /> FORWARD INC. LANDFILL <br /> Forward shall have no obligation to accept the waste if weather or other s <br /> conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL METHOD (TO BE OMP <br /> LE, FORWARD) <br /> I impairs the safe and effective operation of the Landfill Forward shall use r a °. : 5 b: <br /> reasonable efforts to promptly notify Disposer of its inability to accept the `""'�` [�tsFoSE BIG 3 CRATE STE ;,t'LE Fr 9,OTHER <br /> waste for any reason If Forward's refusal to accept the waste is based ort 1—J <br /> weather or other site conditions, Forward shall notify the Disposer when seta [ <br /> I conditions are expected to change such that Forward will be able to accept 'SOIL <br /> }the waste ❑ SLUDGE <br /> • - NON-FRIABLE <br /> ASBESTOS <br /> [I <br /> ❑ WOOD <br /> }�Ial*'f q6(?P ALJ„TkO zkb, CGE1 <br /> ' F �` ,f' r ❑ ASH <br /> Iy rI / <br /> ❑ <br /> OTHER <br /> SCHEDULING MUST 8E 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 /> O SCHEDULE CALL (209)982-4298 <br /> F { "1 <br /> F01(C9511NH)6-96 SALES COPY MANIFEST # C I <br />