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r'r FORWARDNON-HAZARDOUS WASTE MANIFEST <br />' �"�"`� WASTE TREATMENT AND DISPOSAL FACILITY <br /> INCORPORATED _ <br /> JOB ACCEPTANCE NO. 745711 - - "^ <br />' ENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> P pe,;lcum ®GLOVES [:]GOGGLES ❑RESPIRATOR ®HARD HAT <br /> MAILING ADDRESS ❑TY-VEK ❑OTHER <br />' Z i91 Niln'�,il" <br /> CITY,STATE,ZIP SPECIAL HANDLING PROCEDURES <br /> • St�'n.C495.� <br />' - PHONE <br /> CONTACT PERSON <br />' SIGNATUREC)F AUTHORIZED AGENT/JITLE DATE <br /> 1112 <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ TREATMENT SOIL ❑ NO <br /> SLUDGE <br /> ASBESTOS FORWARD INC. LANDFILL <br />' • p DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br />' ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENEP,ATING FACILITY (209) 982-4298 PHONE <br />' _' (209) 982- 1009 FAX <br />' ME TRACTOR UC TRl1G( NUMBER <br /> �J <br /> ADDRESS TRAILER LIC <br />' CITY,STATE,ZIP TRAILER LIC # - <br /> • ,5 rc-,C4o31 <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br />' -92!',634-,'374 a ❑ ❑ <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE R01fOFF(S) FLAT-BED VAN 'DRUMS <br /> FORWARD INC. LANDFILL CUBIC YARDS { ,f <br />' Forward shall have no oblication to accept the waste if weather or other <br /> conditions impair the safe and eifective 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 />' reasonable efforts to promptly notify Disposer of its inabildy to accept the !" DISPOSE SIO AERATE STOCKPILE OTHER waste for any reason If Forwards refusal to accept the waste ,s based on SOIL <br /> 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 /> • REMARKS NON-FRIABLE <br /> v ❑ ASBESTOS <br /> FACILITY TICKET NUMBER _ _ <br /> ❑ WOOD <br /> SIGNATUR F AU�jORIZEDr ENT -n, DATE <br /> �, � ❑ ASH <br /> C] OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br />' TO SCHEDULE CALL(209) 982-4298C 688984 <br /> Fol(c@51 MH)6 es •GENERATOR COPY MANIFEST <br />