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FORWARD ,� a NON-HAI@RDOUS WASTE MANIFEST <br /> INC ORPO RATED WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE N0. <br /> ,♦ T7� <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT, _ <br /> _ Y ,�„ ❑GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> MAILING ADDRESS ❑TY-VEK ❑OTHER <br /> CITY,STATE, ZIP = " '` SPECIAL HANDLING PROCEDURES <br /> PHONE 4f <br /> _ t <br /> SIGNAAU E OF-J_, ORIZEDAAI VjE_'y ,- <br /> `, <br /> _AST PE 1 - w.:a .. c� R `a�}' RECENING FACILRY:r.,=_> .� i FU`...''_ 717' w <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • ❑ DISPOSAL SOIL ❑ WOOD 4 <br /> Q<ONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY µ (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> I�YI�`�h-.ls r� �/-.`srG� _ �P. fT`r �-.'i'3' -l�YJ��tiuS t JTi'�;•`� 4 Jin S[5 �..s. ,- ,'e x-a! <br /> RUCK NUMBER' > <br /> ADDRESS <br /> • CITY,STATE,ZIP <br /> PHONE <br /> END DUMP _ uBOTTOM DiJMP_ TRANSFER <br /> SIG TUBE OF THORIZED AGENT OR DRIVER DATE _ RpLL-OFF(S)`m FLAT$E�` VAN= ti�DRUMS <br /> FORWARD INC. LANDFILL Cup Y D <br /> -4 � r <br /> Forward shall have no obhgation t6'accept the waste if weather or other !!! <br /> conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL METHOD (TO BECOMPLETED BY FORWARD <br /> impairs the safe and effective operation of the Landfill Forward shall use r ) <br /> reasonable efforts to promptly notify Disposer of its inability to accept the DISPOSE BIO_ -` AERATE STOCKPILE OTHER <br /> waste for any reason If Forwards 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 change guch that Forward will be able to accept <br /> the waste ❑ SLUDGE <br /> i'z.-_ <br /> ' ❑ NON-FRIABLE <br /> ASBESTOS <br /> ❑ WOOD <br /> ,SIGNATURE F AUTHOR»EDA EDIT.j" ATE `> <br /> %Ft ;rte °- eti <br /> z_a ❑ <br /> ASH <br /> I r�J ❑ OTHER <br /> SCHEDUL114G MUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS AR <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 <br /> MANIFEST# - 68012 <br /> SALES <br />