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FORWARD � NON-HAZARDOUS WASTE MANIFEST <br /> z ! N C O R P O R A T E D " WASTE TREATMENT AND DISPOSAL FACILITY <br /> L JOB ACCEPTANCE C NO. 736721 <br /> l: <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> Forma 1 's}very C hmolkt ®GLOVES ❑GOGGLES ❑RESPIRATOR <br /> HARD HAT <br /> MAILING_ADDRESS <br /> El TY <br /> VEK []OTHER <br /> CITY,STATE,ZIP SPECIAL HANDLING PROCEDURES: <br /> PHOTfE J <br /> CONff1CT PERSONr 1'} <br /> f1e�TtJfL1 d.: �...Y. ..... r r. _.wig cr •. <br /> SIGNATUR AUTHO D ACZ�NT/TITLE DATE : <br /> RECEMNG FAC[LfFY y w 'g ' a ' <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • ® DISPOSAL SOIL ❑ 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH ASH <br /> ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GEAlERATINGI`ACIiJ7Ygr� k � �' �^ (209) 982-4298 PHONE <br /> s61sWall tx11hsf (209) 982- 1009 FAX <br /> �Di fasrd EqvhqwwqW SerAm 19 <br /> �� E7 f�)l l+ABER <br /> ADDRESS '= ti- fRAILEfi LIC ? 1. <br /> • <br /> Post 015m sox 579M2 <br /> L <br /> •.GEfYATE a �e _ i ::.., TRAI LIC # <br /> ' a)wv,,CA94314 <br /> TRANSFER <br /> (510)634-MO=b�A iZD AGt+ Q�i Df1Vl �3 DATE z "ROLLS-7. F(Sj T-B <br /> ON..._ � UCAS <br /> ... ,..,.x......, ........-,..«..-.......::.....�;.-..,x.::....._.._ti..._-e:. .,,.. .sw srnbtl .� __ ,..x:. ... .2y.;.. EI��..,. .... i'. <br /> FORWARD INC. LANDFILL cu�c�Yruos.. tr ' <br /> rForward shall have no obligation to accept the waste if weather or other f.? <br /> impair the safe and effective disposal of the waste or if the waste ETkdOD , (TO BE CQMPLETEl3 ) <br /> DI <br /> e safe and effective operation of the Landfill. Forward shall use <br /> reasonable efforts to promptly notify Disposer of its inability to accept the r+,,. "" DIS . BIOµ AERATE � ' <br /> waste for any reason. If Forward's refusal to accept the waste is based on ❑ SOIL f <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 09. <br /> the waste _ ❑ SLUDGE <br /> NON-FRIABLE <br /> • _ 1U B ' r-r _ ❑ ABBE $70$ <br /> i `_'` rte.. <br /> U WOOD <br /> - - ❑ ASH <br /> ❑ OTHER <br /> SCHEDULING MUST BE MAge 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 E CALL(209)982-4298 SALES COPY MANIFEST# C 663633 _j <br />