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FQRWARD NON-HAZARDOUS WASTE MANIFEST <br /> I WASTE TREATMENT AND DISPOSAL FACILITY <br /> I l�� JOB ACCEPTANCE NO. <br /> f GENERATOR r.� REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> f, MAILING ADDIS,? � - J ❑GLOVES []GOGGLES []RESPIRATOR ❑HARD HA7 <br /> ` ❑TY-VEK ❑OTHER <br /> CITY, ATE,ZIP. :' SPECIAL HANDLING PROCEDURES: <br /> f <br /> PHol 'y r�f -r 5�S�36.6 <br /> iv <br /> 2 tel: 1646 <br /> CONTACT PERSON <br /> SIGNATURE OF AUTHORIZED AGENT / TITLE.; DATE <br /> WASTE TYPE 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 /> r <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> NAME ' ` f NOTES: TRUCK NUMBER <br /> jf )!� <br /> ADDRESS 1 9,46 ! <br /> • CITY, STATE, ZIP <br /> X53 I U y 69 (_, <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> ~�G�� � /,}y �1/�� fid' ❑ ❑ <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> ❑ ❑ ❑ ❑ <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 OD: (TO BE COMPLETED BY FORWARD) <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 DISPOSE 810 AERATE STOGKPILE OTHER <br /> waste for any reason. if Forward's refusal to accept the waste is based on <br /> weather or other site conditions, Forward shall notify the Disposer when site 501E <br /> ' conditions are expected to change such that Forward will be able to accept <br /> the waste. ❑ SLUDGE <br /> REMARKS <br /> ' ❑ NON-FRIABLE <br /> ASBESTOS <br /> FACILITY ET NUMB" <br /> ' i �' / ❑ WOOD <br /> SIG TURE. AUTk10#ZEOGDATE _ <br /> ❑ ASH <br /> _. �-1 ❑ 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 6NGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> TO SCHEDULE CALL(209)982-4298 <br /> GENERATOR COPY MANIFEST # 49605 <br />