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NON-HAZARDOUS WASTE MANIFEST <br /> F61WARD WASTE TREATMENT AND DISPOSAL FACILITY <br /> 11VL. JOB ACCEPTANCE NO. G AJ- 1.4 <br /> ENRATO '/ / REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> l/� &Z �f l]�QL,� L,� ��(f ❑GLOVES []GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> MAILING ADD ESZ/. ❑TY-VEK []OTHER <br /> SPECIAL HANDLING PROCEDURES <br /> CITY,STATE,ZIP <br /> HONE 1-3 <br /> C TACT PERSON <br /> SIGNATURE OF AUTHORIZED AGENT/TITLE DATE <br /> i <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • JD--DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> .. ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY _ _ (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> NAME NOTES TRUCK�UMBER <br /> P/ 7 <br /> ADDRESS / <br /> . CITY STATE,ZIP <br /> END DUMP BOTTOM DUMP TRANSFER <br /> �7�F,. A�& �GEZ' 41DR 11S!G U EAU lZED VER DATE ROLL�FF(S) FLAT-BEDn VANDRUMS <br /> ❑ ❑ ❑ ❑ <br /> CUBIC YARDS <br /> FORWARD INC. LANDFILL <br /> Forward shall have no obligation to accept the waste if weather or other <br /> `v <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 STOCKPILE 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 /> NON-FRIABLE <br /> ' , ` _ _ f _ _ ___ __ ❑ ASBESTOS <br /> FACILIT1CK � ER - _^ __ <br /> ❑ WOOD <br /> L <br /> NATURE OF AUTHO13IZED AGENT DATE <br /> - -- - ASN <br /> ❑ 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 # 6552 <br />