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NON—HAZARDOUS WASTE MANIFEST <br /> FWWARD WASTE TREATMENT AND DISPOSAL FACILITY <br /> F JOB ACCEPTANCE NO. <br /> EN ATO JREQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> [:]GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> MAI <br /> LING ADDR /f ❑TY-VEK []OTHER <br /> y <br /> 5 SPECIAL HANDLING PROCEDURES <br /> • CITY,STATE,ZIP <br /> HCPNE <br /> 64AOCTZ)SON-�� <br /> SIGNATURE OF AUTHORIZED AGENT/ TITLE DATE �- <br /> WASTE TYPE RECEIVING FACILITY .� <br /> ❑ SLUDGE <br /> • ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC aLAFILL <br /> • FDISPOSAL SOIL ❑ wooD 9999 SOUTH AUSTII ROAD <br /> CONSTRUCTION SOIL ❑ ASH <br /> ' ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> NAnaE­j - NOTES TRUCK NUMBER <br /> ADDRESS <br /> • CITY,STATE,ZIP <br /> PHONE END DUMP -BOTTOM DUMP TRANSFER <br /> �1)0 0/ (,3 -3 El 1:1 11 <br /> SIGNATURE OF�U PRIZED AGED) OR DRIVER _ DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> ' FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste if weather or other k(F� <br /> conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL METHOD (TO BE COMPLETED BY FORWARD) <br /> impairs the safe and effective operation of the Landfill Forward shall use DISPOSE BIO AERATE STOGI(PlLE OTHER <br /> reasonable efforts to promptly notify Disposer of its inability to accept the _ - <br /> waste for any reason If Forward's refusal to accept the waste is based on IL <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 <br /> the waste _ _ ❑ SLUDGE <br /> REMARKS <br /> NON-FRIABLE <br /> --- _ _� - - �� �_ _ ❑ <br /> FACILITY TICKET NUMBER ASBESTOS <br /> _ __ <br /> -f fi -- r� -— ,, ❑ WOOD <br /> SIGNA'�tJRE DF AUTH RIZE A�aENT ©ATE ry <br /> rd f l ❑ ASH <br /> �.� <br /> 1 j ❑ 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 MANIFEST #. 6550 <br /> .r Caiegnrnp ( r av _ _ <br />