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FORWARD NON-HAZARDOUS WASTE MANIFEST <br /> �+b I N C O R P O R A T E D WASTE TREATMENT AND DISPOSAL FACILITY <br />' JOB ACCEPTANCE NO. • 9489-0t) <br /> I� ENERATOR .� ` T ,,,p rs- s _ .�_t -_', Urso. .F FQMg�R ��#�4 X„ray' <br /> 4 ❑GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> MAILING ADDRESS , _ �' p , =U ❑TY-VEK ❑OTHER <br /> CITY,STATE�ZIP _ SPECIAL HANDLING PROCEDURES <br /> STC ' <br />' PHONE _ <br /> ' T` fe l� r1 ia .S T <br /> CONTACT PERSON - <br /> SIGNATURE OF AUTHORIZED AGENT / TITLE DATE <br /> WASTE TYPE `� _ �� _ _ .�s � � p a . REC F,AC IETY <br /> ❑ SLUDGE <br /> �-:k ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> ~ ❑ DISPOSAL SOIL ❑ 9999 SOUTH AUSTIN ROAD <br /> .,; ❑ CONSTRUCTION SOIL ❑ ASH ASH <br />' <br /> El STOCK PILE El OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY _ 2 - (209) 982-4298 PHONE <br /> pe 1 , i1ol (209) 982- 1009 FAX <br /> bx r <br /> 1_ E <br /> L.-_ v�- ..i . 4 Ayi1� E:S•�1�w.�Z'-�.1.4.`y..`,�d..._..:'i. ' L� A �S:wi>.r <br /> .” <br /> " ADDRESS <br /> CITY, STATE,ZIP <br /> w=t" <br /> PHONE <br /> ` �i .a ' " P 4,'aL`8�3 <br /> n �l <br /> El <br /> SIG <br /> �AfURUTHORI7ED AGENT DRPR ISRa Y On -P <br /> El El El El <br />' ¢d FORWARD INC. LANDFILL <br /> `11 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 }QI$ ETHODI %Q0I1� ONWARD) <br /> impairs the safe and effective operation of the Landfill Forward shall use �. �il1I <br /> rsj reasonable efforts to promptly notify Disposer of its inability to accept they ..E <br /> 1 waste for any reason If Forwards refusal to accept the waste is based on <br /> C.11 weather or other s+te 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 />�.r ' r .,..y 1, ,s w , 1,:,. t.�...� ..."?wr�'s;l¢ }'vr-. <br /> REMARKS _A �� s ,� , :k. <br /> NON-FRIABLE <br /> -� ❑ <br /> FACILITY TICKET_ NUMBER ASBESTOS_ , ,, , <br />' j, ❑ WOOD <br /> - IGNATURE O_F AUTHOfjt?4P_A(4E_NT _ DATE',—, <br /> ❑ ASH <br /> F <br /> ❑ OTHER <br /> Now <br /> SCHEDULING MUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> JBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> FU SCHEDULE CALL, (209) 982-4298 4 1 <br /> Fol(C9si1NH)6 96 GENERATOR COPY MANIFEST# C [J. <br />