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1(&' FORWARD ` ' - NON-HAZARDOUS WASTE MANIFEST <br /> ] NCO R P O R A T E D WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. 7AS� --- <br /> ERATOR ` RE,QUIRED PERSONAL PROTECTIVE EOUIPMENT, <br /> 0,GLOVES ❑GOGGLES ❑RESPIRATOR _4Ej3-IARD HAT <br /> 1AILING ADDRESS ❑TY-VEK [:]OTHER% r <br /> CITY,STATE,ZIP C. r SPECIAL HANDLING PROCEDURES <br /> PHONE <br /> CONTACT PERSON _ <br /> SIGNATURE OF A�JTHORIZED AGENT/ TITLEj DATE <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDG E <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASSES70S FORWARD INC LANDFILL <br /> • ❑ DISPOSAL SOIL ❑ 9999 SOUTH AUSTIN ROAD <br /> F1 CONSTRUCTION SOIL ❑ ASH ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> NOTES TRUCK NUMBER <br /> ADDRESS ' -~ 'f r !1��� /✓ <br /> . CITY,STATE,ZIP <br /> PHONE -~ f END DUMP BOTTOM DUMP TRANSFER <br /> SIGNATURE OE A117`f ED AGENT OR DRIVER DATE ROLL�OFF(S) FLAT-BED VAN DRUMS <br /> J <br /> FORWARD INC. LANDFILL CUBIC YARDS j �! <br /> Forward shall have no obligation to accept ,"e waste if weather or other <br /> conditions impair the safe and effective disposal o, he waste or d the waste DISPOSAL METHOD (TO BE COMPLETED BY FORWARD} <br /> impairs the safe and effective operation of the Lanofill Forward sh;,tl use <br /> reasonable efforts to promptly notify Disposer of -`s mabAdy to accept the DISPOSE BIO AERATE STOCKPILE OTHER <br /> waste for any reason if Forwards refusal to accept the waste is based on ❑SOIL -� <br /> weather or other site conditions Forward shall nc,`y the Disposer when site - <br /> conditions are expected to change such that Fory and well be able to accept <br /> the waste ❑ SLUDGE <br /> REMARKS <br /> ❑ NON-FRIABLE <br /> ti <br /> FACILITY TICKET NUMBER ASBESTOS <br /> ❑ WOOD ' <br /> ATURE OF AU RIZED AGENT DATE <br /> ❑ ASH <br /> JE30THER <br /> HEDULING MUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> BJECT TO REFUSAL UPON ARRIVAL.ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> SCHEDULE CALL (209) 982-4298 MANIFEST # 79296 <br /> �Y <br />