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S <br /> (e�_'-FORWARV NON-HA*D4US WASTE MANIFEST <br /> INCORPORATED `4 p WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. r Y . <br /> GENERATOR _ ` .r� _ REQUIRED PERSONAL.PROTECTIVE EQUIPMENT <br /> y.VJ S►rf�/: 5 ` - E]GLOVES _❑GOGGLES ❑RESPIRATOR ❑HARD HAY <br /> MAILING&DRES �' `-- <br /> �. - _ , ❑TY-VEK ❑OTHER <br /> CITY,STAT,ZIPS - ' t. = SPECIAL HANDLING PROCEDURES <br /> • - -- �:' :z it <br /> t LYYa s3J xT <br /> PHONE <br /> 'CONT CT 1?ERQtN -�'J <br /> SIGNATURE OF AUTHORIZE&AGENT / TITLE DACE, = <br /> ,. <br /> WASTE TYPE;" _ '` - _ " ?;s��.iY" <br /> RECEIVING FACILITY= Yx `'r ;u��r-` r' <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • ❑ DISPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY - _ w _ _ _ (209) 982--4298 PHONE <br /> 39 <br /> (209) 982- 1009 FAX <br /> J✓a'r3;ER3` RUCK NUMBER <br /> fl <br /> a. CITY,STATE,_ZIP,�h - w �` i �;. ---? <br /> PHONE r n END DUMP _ BOTTOM DUMP TRANSFER <br /> - GAG - 1' U� r -` � - -w-N - � _�__- ❑ � � - ❑ <br /> 81GNATURE OF AUTHO 1ZED AGENT OR DRIVE :� DATE_yam,+ ;ROLL OFFS)" ` FLAT BED, VAN DRUMS <br /> z/J3 <br /> FORWARD INC. LANDFILL '4 <br /> 4 <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 DISPOSAL ME THOD (TO BE COMPLETED BY FORWARD <br /> tmpairs the safe and effective operation of the Landfill Forward shall use _ a M ) <br /> reasonable efforts to promptly notify Disposer of its inability to accept the _ � DISPOSE BIO AERATE ST LE OTHER <br /> waste for any reason tf Forwards refusal to accept the waste is based on <br /> weather or other site conditions Forward shall notify the Disposer when sit — SOIL " <br /> ' conditions are expected to change„such that Forward will be able to accept <br /> the waste _ _ _ ❑ SLUDGE <br /> ■ "x" J s, ❑ NON FRIABLE <br /> FgCELI �'TICKED UMBER ASBESTOS <br /> El WOOD <br /> SIG{_URE THORIZEDNT �, ti DATE �h r <br /> r ❑ ASH <br /> 04. R I SL❑ OTHFA <br /> ELM 0"=6" <br /> SCHEDULING MUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR 70 EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEE=ORE <br /> TO SCHEDULE CALL (209)982-4298 MANIFEST # 73175 <br /> SALES COPY - <br />