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' (0), ,FORWARD . NON-HAZARDOUS WASTE MANIFEST <br /> INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY <br /> Ah' JOB ACCEPTANCE NO. _95200-0 <br /> GENERATOR. _ - REQUIRED PE=RSONAL PROTECTIVE EQUIPMENT <br />' MAILING ADDRESS [_]GLOVES [-]GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> ❑TY-VEK [:]OTHER <br />' CITY,�MlT .ZIP}wK SPECIAL HANDLING PROCEDURES <br /> • 'PHON <br />' ippq 4 PEReoN . <br /> G li <br /> SIOaq& RE OF APTHORIZED IAGeNTT/ TITLE i PATE <br /> ENG FAci1LITrY <br />' ❑ SLUDGE <br /> ■ ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> ❑ DISPOSAL SOIL ❑ WOOD <br />' ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY = (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> FAME ='y:'+ TRACTOR LIC # <br /> TRICKNUMBER�='i <br /> 4 <br /> AC?[XRESS ' ' m TRAILER LIC-# <br /> TRAILER LIC # Mill r <br /> 'PRONE, END DUMP BOTTOM DUMP TRANSFER,„ <br /> El <br /> = LG_ T RE C UTHQ€� R AG"OR DPIVEFj,,1 DATEj''r ROLL-OFF(5), FLAT-BE� r VlIg= 1 ISR%S� ' <br /> El ❑ ❑s ❑ <br /> FORWARD INC. LANDFILL OU81C'YARCRa' <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 '(TO BE COMP4ETED`B'Y' FORWARDy <br /> impairs the safe and effective operation of the Landfill Forward shall use = <br /> reasonable efforts to promptly notify Disposer of its inability to accept the F' >, ' DISPOSE srrRf0f AEf' q=K'SLE '0T44,-,1 <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 /> 7 <br /> NON-FRIABLE <br /> 1MBE I ;' , X1 1:31 s�` �� ❑ ASBESTOS <br /> I >" ❑ WOOD <br /> RS!ta7VAtur,-,oyAuTR 6f,iOiD AGENTI 3 11 ATIr u ` <br /> ,� _ ❑ ASH <br /> " �' t__.-'"-""�.e ✓. ' ❑ 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 ONGOi �DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> TO SCHEDULE CALL,(209) 982-4298 <br /> Fo1(css11NH)6-ss SALES COPY MANIFEST # C 7 <br />