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I �- NON-HAZARDOUS WASTE MANIFEST 'f .� FORWARD WASTE TREATMENT AND DISPOSAL FACILITY INCORPORATED JOB ACCEPTANCE NO. F = V GENERATPR_ + _ _ RE UIRED PERSONAL PROTECTIVE EQUIPMENT GLOVES [:]GOGGLES ❑RESPIRATOR -['HARD HAT M_AIL NGADDRESS ❑TY-VEK ❑OTHER SPECIAL HANDLING PROCEDURES CITY,STATE,7_iP f PHONE CONTACT PERSON ' SIGNATURE OF AUTHORIZED GENT)TITLE JDATE WASTE TYPE RECEIVING FACILITY ❑ SLUDGE ❑ TREATMENT SOIL F1 NON-FRIABLE ASBESTOS FORWARD INC LANDFILL • DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD ❑ CONSTRUCTION SOIL ❑ ASH .. ❑ OTHER MANTECA, CALIFORNIA 95336 GENERATING FACILITY (209) 982-4298 PHONE r "! (209) 982- 1009 FAX i r r NAME.,,-7NOTES TRUCK NUMBER r+ s ADDOt S ' f J4.c w- f!G orf L . CITY,STATE,Z P , PHONE " END DUMP BOTTOM DUMP TRANSFER SIGNATURE-OF AUTHORiiLED AGLN R DRIVER DATE ROLL�FF{S) FLAT-BED VAN DRUMS a CUBIC YARDS FORWARD INC. LANDFILL Forward shall have no obligation to accept the waste if weather or other conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL METHOD (TO BE COMPLETED BY FORWARD) impairs the safe and effective operation of the Landfill Forward shall use DISPOSE BIO AERATE STOCKPILE OTHER reasonable efforts to promptly notify Disposer of its inability to accept the waste for any reason If Forwards refusal to accept the waste is based on SOIL weather or other site conditions, Forward shall notify the Disposer when site conditions are expected to change such that Forward will he able to accept the waste ❑ SLUDGE REMARKS o NON-FRIABLE ASBESTOS FACILITY TICKET NUMBER ❑ WOOD SIGNATORE OF AOTHORIZED AGENT DATE f ❑}ASH � 7k , ❑ OTHER SCHEDULING MUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE TO SCHEDULE CALL (209) 982-4298 MANIFEST # ',Z ;