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FORWAR <br /> -HAS RDOUS WAS I E MANIFEST <br /> EST <br /> I N' C O R P O R A T i_ _i WASTE TF. .'MENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE N0. - - 1 <br /> GENERATOR, ,�_ ,,•: ,;,�;_ _ 4 REQUIRED.PERSONAL PROTECTIVE EQUIPMENT <br /> ❑GLOVES ❑GOGGLES [:]RESPIRATOR ❑HARD HAT <br /> AILING ADDRESS „ ❑TY-VEK ❑OTHER <br /> G1T ••:STATE-ZIP SPECIAL HANDLING PROCEDURES: <br /> GC TACT PERSON '-:, <br /> BO.B�.DENINNO <br /> IG <br /> NATUR OF AUT ORIZED AGENT /TITLE <br /> * .liter �� <br /> • 'WAST .TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • ❑ DISPOSAL SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> (209) 982-4298 PHONE <br /> 1j'99 NORTH MAIN ,NORTHGAf:�. (209) 982- 1009 FAX <br /> MANTECA. CA <br /> NOTES: TRUCK`NUMBER <br /> :ADDRESS OtNS TI�U�hJ JNc , vJ�� U Cn L <br /> _.._. ._. _.... w...,;._ .._ .. ..._. .._.» _ ........v <br /> ��y6 I'LiJFE� LFELt,. F,U-'�1! <br /> CITY,rSTATE,Zl v z. ..a: :... . .... .._... �� <br /> SACRA.IMENTO CA c)lo _ <br /> END DUMP BOTTOM DUMP >��.:.:�� .__...TRANSFER.sS <br /> w <br /> SIGNATW E OF T RIZED AGENT OR._DRIVERDATE -, ' ROLL-OFF(S) FLAT-BED Mt�VAN r;DRUMSEl El 1:1 El <br /> r <br /> .1.... r...... <br /> FORWARD INC. LANDFILL CUBIC YARDS.. �.►��:ill <br /> 1 1-.- RDS <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 COMPLETED' FORWARD; <br /> impairs the safe and effective operation of the Landfill. Forward shall use r, x••.a <br /> reasonable efforts to promptly notify Disposer of its inability to accept the _. DISPOSE B16""' AERATE STOCKPILE yOTHER'a <br /> waste for any reason. If Forward's refusal to accept the waste is based on LT <br /> weather or other site conditions, Forward shall notify the Disposer when site ,Q.SOIL <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste. ❑ SLUDGE <br /> ` REMARKS ' <br /> NON-FRIABLE <br /> FACILITY TICKET'NUMBER <br /> Y ❑ ASBESTOS <br /> _._.,._Tom,.-_•--.,..__._. __ <br /> ❑ WOOD <br /> SIGNATI R 'OF`AUTHORIZED AGENT — DATE <br /> ._..�..._..—...........—...__ —..__..._Y_.. ,. � .. .... ....,�..._t ❑ ASH <br /> J � C <br /> ❑ OTHER <br /> SCHEDULING 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. ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE." <br /> TO SCHEDULE CALL (209) 982-4298 TRANSPORTER COPY MANIFEST # C 26253 <br />