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1 <br /> NON-HAZARDOUS WASTE MANIFEST <br /> Fes'WARD WASTE TREATMENT AND DISPOSAL FACILITY <br /> INC. <br /> JOB ACCEPTANCEN0. _. <br /> GENE OR''°` `.' R_EOLiIRED f?I_;1�50NAL'P,ROTEG7fVE EOUIPMEN7 '.►A ; + <br /> Q da �e�� ❑GLOVES ❑GOGGLES ❑RESPIRATOR — ❑HARD HAT <br /> MAILI A RESS fir.; al;4C� a "#� ;r y ❑TY-VEK ❑OTHER <br /> SPECIAL HANDLING PROCEDURES: <br /> CITY,STATE, ZIP <br /> PHONE <br /> f� CON7hC7 PERSON <br /> SIGC ATURE`OF AUTHORIZED AGENT /TITLE ",7.160 <br /> ii WASTE TYPE _, ._. .. ... Y_ ..._. _TY 3's Jw�ICIVIN _ <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> DISPOSAL SOIL ❑ 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION 501E ❑ ASH ASH <br /> �' ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> .� <br /> GENERATING FACILITY ' (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> AME NOTES' 'TRUCK NUMBER <br /> i� CITY WE,ZIP '' h ``::• <br /> PHONE r , ,• „ {END Dl1MP 'BOTTOM DUMI� t:"': '4,TRANSFER^=, <br /> SIGNATURE OFA T1iORiZEb AG�NAT <br /> T OR DRIVER DE ,..T ROLL OFF{S) fL T 8ED � Nzu _`DFilJIV1S R <br /> FORWARD INC. LANDFILL CUBIC-.YARDS' <br /> A <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 BY FORWARD) <br /> impairs the safe and effective operation of the Landfill. Forward shall use <br /> t� reasonable efforts to promptly notify Disposer of its inability to accept the D1SPU$E BlO�", AFiAl STOC�(PILEOTFEI = <br /> waste for any reason. If Forward's refusal to accept the waste is based on SOIL <br /> n 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 /> i REMARKS' - <br /> NON-FRIABLE <br /> (5C _ ❑ ASBESTOS <br /> FACILITY PICKET Nl1MBER 1 <br /> _. ., _.. _ - ❑ WOOD <br /> SI6NATUroEt W.- EgTRORIZED <br /> ❑ ASH <br /> c u I J ❑ OTHER <br /> sf,iiF..f?t"IIAPlG 0,T)ST f3F MADE: P11110n f0 1:00 P.K "1111- 1)" 1'11101; '1.0 EXPECTED Alll"IVAI_ ANY UNSCHEDULED LOADS ARE <br /> glI1ZJEC'f lr)1tF=f=ll.`:A1- I.Irptf 611111VA1_. tlf,tc_.0?fft�.; r?A,tf'r' I,)f::l_IV1=I.It :.7 P•111' I ['1= !XI)FOULED l)UI_EL1 WI fl l TIME LANDFILL THE DAY BEFORE. <br /> Ir: ,CHE'UkILE CALL("9) 982-42RO MANIFEST# 7864 <br /> 1RAIISf10IiTCfi Copy <br />