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-' FORWA R& f NON-HADOUS WASTE MANIFEST <br /> V4 <br /> INCORPORATED WASTE TR A <br /> V <br /> I COR ! TMENT AND DISPOSAL FACILITY <br /> J013 ACCEPTANCE N0, <br /> GENERATOR ` ' r' � �� REQUIRED PERSONAL PROTECTIVE EQUIP—MENT _ <br /> MAILING ADDRS ' r _�_,-, ❑GLOVES [:]GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> _ _ � _ _ ❑TY-VEK ❑OTHER <br /> CITY,STATE ZP SPECIAL HANDLING PROCEDURES <br /> 7, <br /> _� - tca } �� 1 _a <br /> CONT/CT-PRSQN <br /> +-A ..5�...c <br /> SIGNATURE OF AUTHORIZED AGENT/ T{TLE`,rte DATE :,P . <br /> WASTE�TYPE` _ : Y,� ,,,K ;• - �h„�' C�,l RECEIVING FACILITY <br /> f❑ ,SLUDGE r <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • ❑ DISPOSAL SOIL ❑ 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY - - - (209) 982-4298 PHONE <br /> P F 3' (209) 982- 1009 FAX <br /> NAME � �s. �".,�u .- �ire��� .�=�rr� ;” � NOTES CK NUMBER <br /> bDRESSy`tet y i i�llsi c��y f�i i Vs�7_,�� "f'�w-4`t--�-�-•n �f.-��' � � �.�:.V.. <br /> • CITY ST TE,,ZIP��r•1 `l�l - r - 4 �_� _ / <br /> PHONE-_, DUMP^ _ BOTTOM DUMP,_-, TRANSFER <br /> SlGNATIJR�OF ,jtiTH t R1ZED AGENT ORD IVER:,L DATE } � ROLA-OFFS), nFLAT-BEDj` ; ;W,VgN' � _DRUMS <br /> El El 0 El <br /> r <br /> FORWARD INC. LANDFILL CUBIC YARDS�f <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 METHOD , TO BE COMPLETED B FORWARD) <br /> impairs the safe and effective operation of the Landfill Forward shall use <br /> reasonable efforts to promptly notify Disposer of its inabf ity to accept the ,_ 3_ DIS_P_O_SE _ B!O - AE KPILE OTHER <br /> waste for any reason If Forwards refusal to accept the waste is based on '�� <br /> weather or other site condstions,Forward shall notify the Disposer when site IL <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste _ _ ❑ SLUDGE <br /> REMARKS," NON FRIABLE <br /> Y r El ASBESTOS <br /> FACILITYTICKETNUMBER '` " J l a; F� <br /> W ❑ WOOD <br /> SIGNATURE-F�P, ORIZED AG ?! K DATE T ^ r <br /> - -- - ,�9 ❑ ASH <br /> �' > /`�� ❑ OTHER <br /> SCHEDULING MUST BE MADEti RIOR 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 # 73176 <br /> SALES COPY <br />