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NON-HAZARDOUS WASTE MANIFEST <br />,. (&,. FORWARD <br /> _ INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. $$3300 ° r <br /> ENERATQF�t�� REOUIRED PERSONAL PROTECTIVE EOUIPMENT _ <br /> ®GLOVES [:]GOGGLES ❑RESPIRATOR ®HARD HAT <br /> MAILIN_G_ADDRLS -j ":, �:"� _-'TMY `__. w_ p _ �a ❑TY-VEK [3OTHER <br /> 521 West Pze <br /> SPECIAL HANDLING PROCEDURES <br /> yOiTY,STATE; <br /> • k dk,C-A 95245 <br /> (209)943-2011 <br /> CONTACT <br /> SIGNATURE OF AUTHORIZED AGENT / TITLE DATE <br /> WASTE-TYPE-., RECEIVING FACILITY— <br /> SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • FE] DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACIUTY (209) 982-4298 PHONE <br /> 2191 Nail Drrve STrxCKTCj,4 (209) 982- 1009 FAX <br /> ME i 9-- _T TRACTOR LIC # � J ^ 'TRUCK NUMBER <br /> ADDRESS Z_01TRAILER LIC 'T <br /> CITY, STATE, ZIP q S, � TRAILER <br /> • PHONE A - END DUMP BOTTOM DUMP TRANSFER <br /> SIGNATURE � UTHORIZED AGENT OR DRIVER DATE ROLL�FF(S) FLAT-BED VAN DRUMS <br /> qq <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 4 the waste DISPOSAL METHOD (TO $E COMPLETED BY FORWARD) <br /> impairs the safe and effective operation of the Landfill Forward shall use DISPOSE BIO AERATE STpCKP1LE OTHER <br /> reasonable efforts to promptly notify Disposer of its inability to accept the <br /> waste 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 [}SO1C T <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste ❑ SLUDGE <br /> REMARKS <br /> NON-FRIABLE <br /> ASBESTOS <br /> FACILITY TICKET NUMBER <br /> ❑ WOOD <br /> GNATURE OF AUTHORIZED AGENT DATE <br /> ❑ ASH <br /> LIZ'— <br /> ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL + ANY UNSCHEDULED LOADS ARE <br /> toUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> O SCHEDULE CALL (209) 982-4298 <br /> %(C9511NH)6 96 MANIFEST # C 720239 <br /> SALES COPY <br />