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IFORWARD . . NON-HAZARDOUS WASTE MANIFEST <br /> WASTE TREATMENT AND DISPOSAL. FACILITY <br /> fN , <br /> :JOB ACCEPTANCE NO. S s�= p 4'��'ma=y <br /> .. <br /> ENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT _ <br /> 1 ` .� <br /> [:I GLOVES ❑GOGGLES [_]RESPIRATOR ❑HARD HAT <br /> MAILING ADDRESS ❑TY VEK []OTHER <br /> CITY,STATE,Zip <br /> T <br /> = -�- SPECIAL HANDLING PROCEDURES <br /> PHONE <br /> CONTACT PERSON <br /> SI NA OF AUTHORIZE©AGENT/TRLE DATE <br /> -- TYPE__ . -_.-_ -�.__:.. --- - - - x �RECEMNG FACILITY x ': -tet' <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> ❑ DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY Y �._%�_�= Y-: -_., (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> L c f�+ 1�. <br /> .:NCF17ES.. a,rc n-`�.r-Cicd^�.' 'r`�9RIl`..K&CJiY18ER <br /> -�- <br /> • =5m - <br /> i 4 -� <br /> 3 lIL ❑ ❑ <br /> PE-0E-AQTHQRM2PR VER DA 5 k�AAT 8 tJ - <br /> * ;z ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL - <br /> Forward steal[have no obligation to accept the waste d weather or other <br /> conditions impair the safe and effective disposal of the waste or if the waste _DISPOSAL:METI{OD: O BEC r <br /> impairs the safe and effective operation of the Landfill Forward shall use rte_ =5~rte- -- <br /> reasonable efforts to promptly notify Disposer of its inability to accept the ""` POSE'-a KT <br /> waste for any reason If Forwards refusal to accept the waste is based on r` SOIL <br /> weather or othef site condrtions, Forward shall nobly the Disposer when site I,< <br /> • conditions are expected to change such that Forward will be able to accept <br /> the waste- ❑ SLUDGE <br /> NON-FRLABLE <br /> 1 _ - _r _� -_� ,>- _ __ _ ❑ ASSESTOS <br /> FACILCCY TICKET NUMBER <br /> - - -- ---- .��_ - - ❑ WOOD <br /> did--TARE OF ACI r-H-04Z —AGENT - __ _ DATE ❑ <br /> _-- _ _-- -.._ __ _ ASH <br /> * _" � t ; t _ -•.a ❑ OTHER <br /> SCHEDUUNG MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> FBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> SCHEDULE CALL.(209)982-4298 MANIFEST# 14392 <br /> SALT=s rnPY-- <br />