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fORWA - , , NON-H RDOUS WASTE MANIFEST <br /> ! N C Q F2 P O R A T D' K = rn <br /> 1, WASTE TR gTMENT AND'DISPOSAL FACILITY <br /> „ 4', <br /> JOB ACCEPTANCE,NO. '� <br /> GENERATOR <br /> RrQE1RED�EFSONA`PFOTECTNE EjQUlPMENT7r <br /> � x <br /> Q U.a��-- —��L .,,I�/�7 ��, ❑GLOVES ElGOGGLES [:IRESPIRATOR ❑HARD HE <br /> MAILING ADDRESS?�� � «^.w„ I: f tit ❑TY-VEK ❑OTHER <br /> ClT,Y,57ATE,ZIPS, �� ` SPECIAL HANDLING PROCEDURES <br /> ._.. r <br /> PHONE '` ,';-," <br /> _CO T�` ER <br /> SIG /URI OFr tJTI{ORIZE 'A_GENT'/tiTIT�E ?�" DTA 3 ` <br /> WASTE TYPE g sir ' ti xy,r c y <br /> -- ��� _ .�u�: '1y. � � - :: <. RECENJNG FAQ1L <br /> ❑ SLUDGE <br /> TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • ❑ DISPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTIQN SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> I ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GJ/El.�ERyA,TING��AciLrrr -i�M {209} 982-4298 PHONE <br /> (209) 982-1009 FAX <br /> `,r, r /A <br /> ■i.n`l r <br /> _NOTES'` J r Eg t TRUCK NUMBER <br /> � <br /> 7 <br /> .,� ✓l�l Q fL�j_ U <br /> 'CITY,STATE`Z!P <br /> - <br /> PHO` -END DUMP r BOTTOM DUMP -TRANSFER <br /> El <br /> SIGNATUEf1THOREZE AGENT OR DRIVER DATE{µ ` `�gOLL-OFF =" gE -- - �❑ <br /> S..S.. <br /> El <br /> J <br /> FORWARD INC. LANDFILL EUEIc;Y <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 <br /> impairs the safe and effective operation of the Landfill Forward shall use DISPOSAL METH (TO BE COMPLETEDBY RW RDt <br /> reasonable efforts to promptly notify Disposer of its inability to accept the DISPOSE -BIO AERATE sT <br /> waste for any reason If Forwards refusal to accept the waste is based on - R <br /> weather or other site conditions Forward shall notify the Disposer when site S� <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste ❑ SLUDGE <br /> • r 'y� ��TG ,n..--. �--.�-Yrs-4�M1�,,c,_y hy,�'.�'""'T'^ <br /> J r ❑ NON-FRIABLE <br /> ASBESTOS <br /> � r _ _ ❑ WOOD <br /> SIGNAURE� 'AUTHO AG DAVE�;��."�'('�� <br /> �C JJ��_�� [:1 ASH <br /> ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL r ANY UNSCHEDULED LOADS AR <br /> SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THELANDFILL <br /> TO SCHEDULE CALL (209)982-4298 , THE DAY BEFORE <br /> SALES COPY <br /> MANIFEST# 68009 <br /> -- <br />