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TORWARDNON-HAZARDOUS WASTE MANIFEST , <br /> 'orb I N C O R P O R A T E D WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. $8 0• <br /> - r <br /> REQUIRED PERSONAL PROTECTIVE EQUIPMENT ny_ <br /> GLOVES ❑GOGGLES [-]RESPIRATOR ©HARD HAT <br /> MAILING ADDRES E]TY VOTHER <br /> EK ❑ <br /> 521-West Pme <br /> SPECIAL HANDLING PROCEDURES <br /> kdd64r-A 95245 <br /> (i+.►v)943-2011 <br /> OTh "ACT PERSON;` r :; _ r <br /> AFf�Bores <br /> SIGNATURE OF AUTHORIZED AGENT/ TITLE DATE <br /> WASTE TYPE "" RECEIVING FACILITY _ <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • Q DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> Z191 Navy Dxi're STOCK-KIN (209) 982- 1009 FAX <br /> - AME TRACTOR LIC # TRUCK NUMBER <br /> *IDDRES TRAILER LIC # ` L <br /> • CIT ,STA7�LIP TR' E <br /> T <br /> PHONE ` 0 ~ END DUMP BOTTOM DUMP TRANSFER <br /> SIGNATURE OF AUTHORIZED AGENT 0916RIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> ❑ ❑ ❑ ❑ <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 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 inability to accept the ��-Y DISPOSE BIO AERATE STOCKPILE OTHER <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 sate �SOIL <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste [] SLUDGE <br /> a <br /> REMARKS Ei <br /> NDN-FRIABLE <br /> ASBESTOS <br /> FACILITY TICKET t UMBER <br /> /` , ❑ WOOD <br /> GNATURE94 <br /> UTHO (EdAG NT DATE <br /> J ❑ ASH <br /> / `'�/ �' 1 ❑ OTHER <br />'SCHEDULING MUST BE MADE PRIOR TO 4 00 P M THE DAY PRION 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 �. <br /> F01 LC9511NH)6 96 SALES COPY MANIFEST # C <br /> ' 20 50 <br />