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I <br /> FORWARD NON-HAZARDOUS WASTE MANIFEST <br /> I N A WASTE TREATMENT AND DISPOSAL FACILITY <br /> CORPOR TED <br />' JOB ACCEPTANCE)NO. <br /> NON= <br /> j' <br /> ERAT4F�T `- - •°1=�" " �= L' ;; N 'r s"- � ftl= RED RERSONALOTECTNF�EQ�JIPMENT '_-"" F x ti, <br /> 4_ 7 f r. �p PLA 1 �. � bLOVES [:]GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> I NG ADDRESS`"'" ��:' �' 2z 2 71 <br /> R "' �" ❑TY-VEK ❑OTHER I <br /> �,�i SPECIAL HANDLING PROCEDURES <br /> MSTARE; _ <br /> .PHO___N.G A ''nom,:7', <br /> j`. <br /> ,MCO--WPERSQI <br /> SIGNATUREOF AUTHORIZED AGENT/TITLE ; DATE <br /> WASTE TYP__E'¢ x_ xr a '- J -, RECEIVING FACILITX-'�� <br /> ❑ SLUDGE <br /> • ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> -0701SPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> w <br /> El OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> NAME 11NOTES. ! TRUCK NUMBER <br /> e '14 `( <br /> ADDRESS <br /> '�4 J <br /> • CITY,STATE, Z1P <br /> PHONE `j { ` ` v END DUMP _ BOTTOM DUMP_ TRANSFER <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> ❑ ❑ ❑ ❑ <br /> i <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste if weather or other / <br /> conditions impair the safe and effective disposal of the waste or of the waste DISPOSAL METHOD (TO BE COMPLETED BY FORWARD) <br /> impairs the safe and effective operation of the Landfill Forward shall use _ DISPOSE BIO AERATE STOC►cP1LE OTHER <br /> reasonable efforts to promptly notify Disposer of its mabilrty to accept the _ <br /> waste for any reason If Forward's refusal to accept the waste is based on OIL <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 /> NON-FRIABLE <br /> �_�Kw ,N rRµ__� _ __ ❑ ASBESTOS <br /> FAClL1TY_T1ChCET NLiMBER_�3�,,,.• �,,,. �, ..�_ _, ,� �„,�- 4 <br /> _ - ❑ WOOD <br /> �I+IATURE OF AUTHORIZl=D AGENT r _r <br /> DATE <br /> T ❑ ASH <br /> T ❑ 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 5`7 8 3 <br /> __ MANIFEST � 1 O <br />