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FORWARD NON-HAZARDOUS WASTE MANIFEST <br />' o a t-0­0 WASTE TREATMENT AND DISPOSAL FACILITY <br /> �+ 1NC0RP0RATED <br /> JOB ACCEPTANCE NO. [�`I <br /> GENE"1 t µ-_� RE GLOVES E❑GOGGLES ❑RESPIRATOR 11 NA PROTECTIVE ENT RD HAT <br /> IYit�,r f <br /> (LING#!D <br /> ESS [:]TY-VEK ❑OTHER <br /> Zi �r�' �, '��t�U� <br /> CITY,ST ,ZIP -r�4 SPECIAL HANDLING PROCEDURES <br /> PHONE <br /> CONTACT WRS9,? <br /> SIGNATUR OF AU'l ED AGENT J TITLE DATE <br /> WASTE TYPE RECENING FACILITY _ <br /> ❑ SLUDGE ` <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> DISPOSAL SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ASH r ' <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> ME , - NOTES TRUCK NUMBER <br /> � n <br /> ADD 1_7 <br /> 1 � t <br /> • CITY, STATE,ZIP <br /> PHOtTE t END DUMP BOTTOM DUMP -TRANSFER <br /> SIGNATURE OF A65:11`RIZED AGENT OR DRIVER DATE RdLL-OFFS) FLAT-BED VAN DRUMS <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligasron to accept the waste if weather or other <br /> conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL.METHOD (TO BE COMPLETED BY FORWARD) <br /> impairs the safe and effective operation of she Landfill Forward shall use <br /> reasonable efforts to promptly notify Disposer of :ts rnabltty to accept the DISPOSE B10 AERATE STOCKPILE OTHER <br /> waste for any reason 11 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 change such that Forv.ard will be able to accept <br /> the waste ❑ SLUDGE <br /> REMARKS _ <br /> - NON-FRIABLE <br /> ❑ ASBESTOS <br /> FACILITY TICKET NUMBER <br /> f ! ❑ WOOD <br /> SIGNATURE OF AU ORtZ�D AGfNT DATE <br /> ❑ ASH <br /> 0 "tU��� ,, ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE I <br /> SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> SCHEDULE CALL (209) 982-4298 <br /> MANIFEST # 089805 <br /> GENERAT01RCOPY - - 1 <br />