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FORWARD , NON-HAZARDOUS WASTE MANIFEST <br /> V� INCORPORATED _ WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO.Ah <br /> GENERATOR _ _ _ REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> ❑GLOVES ❑GOGGLES [:]RESPIRATOR ❑HARD HAT <br /> MAILING ADDRESS ❑TY-VEK [:]OTHER <br /> } <br /> CITY,STATE,ZIP SPECIAL HANDLING PROCEDURES <br /> - PHONE - <br /> CONTACT PERSON <br /> SIGNATURE OF AUTHORIZED AGENT/ TITLE r DATE <br /> WASTE TYPE _ r r�- _ _ RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • ❑ DISPOSAL SOIL, ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY - ry _ ¢ r (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> NAME NOTES ' -. TRUCK NUMB <br /> I»R , <br /> 1 F!f STATIE,7JF' <br /> - <br /> -� ,SND DUMP BOTTOM DUMP TRANSFEFt � <br /> RE;O l�IAT F - � r �� _ - -" ❑ <br /> SIG � N ❑, <br /> „ U AUTHORIZED AG(fjTjOR DRIVERu DATE _}' s ROLL y©FF(S) s FLAT-BED VAN DRUMS"_�= <br /> El El <br /> FORWARD INC. LANDFILL CUBIC YARDS <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 BY FOHWARD� <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 _A , re L DISPOSE. BIO AERATE STOCKAr HERS <br /> waste for anv reason If Forwards n-finial to arrPnt the waste is based o^ -- 'x UE OT <br /> I <br /> weather or other site 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 /> REMARftS _ - <br /> ❑ NON-FRIABLE <br /> FACILITY TICKET NUMBER '` - r ASBESTOS <br /> -- -- - - -" ❑ WOOD <br /> SIGNATURE OF AUTHtPRIZED AGENT r DATE_ � <br /> - - _ r ❑ ASH <br /> ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL s 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 <br /> 1 -'N f <br /> MANIFEST # <br /> pr ar �- ^✓ V y <br /> GENERATOR COPY <br />