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' NON-HAZARDOUS WASTE MANIFEST <br /> 1 (& , FORWARD <br /> 1 '�' ORP RWASTE TREATMENT AND DISPOSAL FACILITY <br /> r � C O ATED <br /> JOB ACCEPTANCE NO. 7W1'- 7 It <br /> { � � � REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> C GLOVES ❑GOGGLES ❑RESPIRATOR -�O HARD HAT <br /> MAILING ApDi3ESS� t � —1 ❑TY-VEK []OTHER <br /> CITY, STATE,ZIP �- I r - �,� SPECIAL HANDLING PROCEDURES <br /> PHONE <br /> CONTACT PERSON `� f <br /> SIGNATURE OIr,AUTHORIZED AGENT-/ fITLE DATE <br /> WASTE TYPE RECEIVING FACILITY <br /> I <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • ❑ DISPOSAL SOIL ❑ vwooD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY __ (209) 982-4298 PHONE <br /> ~ (209) 982- 1009 FAX <br /> fJ�E NOTES TRUCK NUMBER <br /> r r r <br /> ADDRESS `-- <br /> . CITY,STATE,ZIP J� Y <br /> f , <br /> PHONE �'+1 �. r r _ a� END DUMP BOTTOM DUIJP TRANSFER <br /> SIGNATURE-0F-AU HORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> ' ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL CUBIC YARDS , f <br /> Forward shall have no obligation to accept - 1 asie if voealher or other <br /> conditions im;,air the safe and a"ectwe disposal cf ,he waste or ,i he waste DISPOSAL METHOD (TO BE COMPLETED BY FORWARD) <br /> immirs the sate and effectrle operation of the Lancfdl Forward st-�*l s.se r p=gpOSE BIO AERATE �30CK�I OTHER <br /> efforts to promp y nolify Disposer of s mability to accept the ll <br /> v asie for any reason If Forward s refusal to accept the waste :s based on SOIL <br /> weather or other s:te conortrons Forward shall nCtify the Disposer when site <br /> conditions are expected to chance such that Fomard will be able to accept <br /> the waste ❑ SLUDGE <br /> REMARKS - <br /> ❑ NON-FRIABLE <br /> i <br /> FACILITY TICKET NUMBER ASBESTOS <br /> j ❑ WOOD <br /> �fA7UREOF AU ORIZED AGENT D TE <br /> #, 't f�� ❑ ASH l <br /> r <br /> ❑ OTHER <br /> t .� r <br /> �CHEDULING MUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE UBJECT TO REFUSAL UPON ARRIVAL..ONGOING DAILY DELIVERIES MUST 13E SCHEDULED WITH THE LANDFILL THE DAY BEFORE. I <br /> �p SCHEDULE CALL. (209) 982-4298 <br /> MANIFEST # 79295 <br /> aAk=944py <br />