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li11aiar TUE UH:CFORW <br /> 4 JtAA2009 468 1067 FORWARD INC. '�� �x UUc k <br /> � ! NON—HA�RDDUS WASTE MANIFEST <br /> ! N C O R P O A T 1:'D WASTE TREATMENT AND DISPOSAL FACILITY <br /> JCB ACCEPTANCE NO. <br /> ERATOR '' t <br /> REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> ADDRE c!M E]GLOVES :.❑GOGGLES []RESPIRATOR ❑WARD HA-r <br /> / El TY VEK `[,)OTHER <br /> boa W � <br /> CIN.STATE.ZIP SPECIAL HANDLING PROCEDURES: <br /> N o c/��o 10 G9 ?S-z ay I <br /> g3-ao l <br /> j CONTACT PERSON ,'lt <br /> i <br /> SIGNATURE'OF AUTHORIZED h T/TiTLE PATE i <br /> Vlda$TE TYPE <br /> RECENING FACILITY <br /> ❑ SLUDGE ► <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • DISPOSAL SOIL ❑ WOOD i II <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> L� <br /> OTHER MANTECA, CALIFORNIA 95336 t <br /> i� <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> /foo WCIVer/oo k000tl, clGc/C111 <br /> 2 <br /> ( ;s09) 982- 1009 FAX <br /> NAME I <br /> / NOTES: 11 TRUCtQNUhjBER <br /> Q C - <br /> C'� <br /> AW ESS 1 <br /> . CIY Y, TATE P <br /> y <br /> WaCK a� 932 n 6 <br /> ONE <br /> END DUMP ;P BOTTOM DUMP TRANSFER <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS F <br /> FORWARD INC. LANDFILL cuelc o io <br /> Forward shelf have no obligation to accept the waste if weather or other <br /> conditions impair ttte sate and effectim disposal of the waste or if the waste <br /> impairs the safa and effective operation of the Landfill. Forward shall use DISPOSAL'METHOD: ETD BE COMPLETED BY FORWARD) <br /> reasonable efforts to proMO y notify Disposer of its inability to accept the �' .DIt3POSE BIt�. AE RATE:5Tt7C t OTHER 1 <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 ❑ SOIL ` <br /> conditions are expected to charge such that Forward will be able to accept <br /> the waste, <br /> • REMARKS ❑ SLUDGE <br /> NON-FRIABLE <br /> FACILITY TICKET NUMBER A'BESf03 <br /> El MOD <br /> (,RIZED M]' DATE } r <br /> 'i <br /> El ASH .3 <br /> D <br /> o <br /> SCHEDULING MUST BE MADN PRI TO 4.00 P.M. THE DAY P EXPEtTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL,UPON A01VIVAL.ONGOING DAILY DELIVERIES MUST BE SC' HEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> TO SCHEDULE CALL(208)992-4298 P <br /> cnauu,�nn urnv i! MANIFEST* 74302 <br /> � I 1 <br /> 4 <br />