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NON-HAZARDOUS WASTE MANIFEST <br /> FORWARD <br /> INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB`ACCEPTANC E N0. 79.)_-fl- 7!/ - <br /> i <br /> ERATOR _ y REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> ❑'GLOVES []GOGGLES E]RESPIRATOR [HARD HAT <br /> MAILING ADDRESS ❑TYVEK ❑OTHER <br /> CITY, STATE,ZIP r .. �_ r SPECIAL HANDLING PROCEDURES <br /> PHONE <br /> CONTACT PERSON w <br /> SIGNATURE OF AUTHORIZED AGENT/ TITLE DATE <br /> .- - <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • ❑ DISPOSAL SOIL ❑ woo) 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> - - —4 - <br /> " (209) 982- 1009 FAX <br /> JE _ r ter— NOTES TRUCK NUMBER <br /> � y' � • � � r'' s f j� c n �r/ / <br /> ADDRESS <br /> A <br /> . CITY, STATE, ZIP <br /> PHONE ;� 1 END DUMP BOTTOM DUMP TRANSFER <br /> + ` f ❑ ❑ ❑ ' <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL CUBIC YA <br /> 1'e"� <br /> Forward shall have no obliplion to accept the waste if weather or other <br /> conn+tions impair the safe and effective disposal of the wdaste 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 /> reasonable efforts to promptly notify Disposer of its inability to accept the DISPOSE 810 AERATE STOCKPILE OTHER <br /> waste for any reason If Forward s refusal to accept the waste is based on ❑,SOIL <br /> weather or other site conditions Forward shall notify the Disposer when site ; <br /> conditions are expected to thane such that Forward wdf be able to accept' , <br /> the waste ❑ SLUDGE <br /> REMARKS NON-FRIABLE <br /> ❑ ASSES70S <br /> FACILITY TICKET NUMBER <br /> ❑ WOOD <br /> ATUREtOF AUTHORIZED AGEN' ] I DATE r f <br /> j <br /> r L- ❑ ASH i <br /> 7�C E, i} �_l� 1 i •� ❑ OTHER i <br /> HEDULING MUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE I <br /> BJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE , <br /> SCHEDULE CALL (209)982-4298 <br /> MANIFEST 79293 <br /> :.tea 00!''1' <br />