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} ��y _ W NON-HAZARDOUS'WASTE MANIFEST - <br /> FORWARD <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> INCORPORATED <br /> JOB ACCEPTANCE N0, <br /> rNERATORREOUIRED PERSONAL PROTECTIVE EOUIPMENT <br /> P Pc--riolrum Y GLOVES ❑GOGGLES ❑RESPIRATOR HARD HAT <br /> ' MAILING ADDRESS ❑TY-VEK ❑OTHER <br /> 2 X91 ,�$�y,Dms SPECIAL HANDLING PROCEDURES <br /> CETY, STATE,ZIP <br /> 3G495145 <br /> ' - PHONE <br /> CONTACT PERSON <br /> SIGNATUIoE F AUTHORIZED AGENT/ TLE DATE <br /> *✓�'�'�1.�:�' t I�!'�tom/ r � ��y?�� <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • fl DISPOSAL SOIL p WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> 933 Ado Rlvd M-AN 1:C (209) 982- 1009 FAX <br /> FM�E TRACTOR LIC # A TRUCK NUMBER <br /> rt - <br /> ADDRESS TRAILER LIC A(i <br /> 1=CBDt,5.9 '?i,/h 3 <br /> • CITY, STATE,ZIP TRAILER LIC f <br /> I"3;�1-iC�.s walk <br /> PHONE END PUMP.," BOTTOM DUMP TRANSFER <br /> (925.64-1`374 ❑ ❑ <br /> SIGNATURE OAU HORiZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL cuBlc YA"'R/S/ <br /> Fomard shall have no obhcal,on to accept the waste if weather or other i� / <br /> conditions irnpaa the safe and effective disposal of the waste or if the waste DISPOSAL METHOD (TO BE COMPLETED BY FORWARD) <br /> impairs the sale and effective operation of the Landfill Forward shall use <br /> reasonable efforts to promptly notify Disposer of its inability to accept the DISPOSE BID AERATE STOCKRI E OTHER <br /> v,aste for any reason If Forwards refusal to accept the waste is based on �- <br /> weather or other site conditions,Forward shall notify the Disposer when site SOIL <br /> conditions are expected to change such that Forward will be able to acceptj,, <br /> the waste ❑ SLUDGE <br /> REMARKS NON-FRIABLE <br /> ❑ ASBESTOS <br /> FACILITY TICKET NUMBER _ _ <br /> ❑ wooD <br /> IG A REAUTHORf TENT DATE <br /> L f„ ❑ ASH <br /> ❑ 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)982-4298 COQ 9 8 5 <br /> F011C651INH)6 96 GENERATOR COPY MANIFEST # C V O V O V <br />