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FORWARD' ' NON-HAZARDOUS WASTE MANIFEST <br /> INC OR P O R A TED. WASTE TREATMENT AND DISPOSAL FACILITY <br /> � <br /> JOB ACCEPTANCE NO 59330 <br /> �GENERATQR�, ,� �:_���"; � :. <'t'1 ; _A - '- REOUIRED PERSONAL PROTECTIVE EQUIPMENT _ <br /> and� }�p�,ka GLOVES []GOGGLES ❑RESPIRATOR ®HARD HAT <br /> ?u G ADDRE� � 4 n -`_ Y� ❑TY-VE ❑OTHER <br /> 52P`nge - - b <br /> SPECIAL HANDLING PROCEDURES <br /> PHONE <br /> - f 4w :M _ $, >r_..L_ <br /> NiA Bond" <br /> SIGNATURE OFTAUTHORIZED AGEN �!TITLE DATE T <br /> I� ..` _ r <br /> • WASTE TYPE RECEIVING FACILITY, <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL F1NON-FRIABLEASBESTOS FORWARD INC LANDFILL <br /> • �3 DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> 'R ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> • GENERATING FACILITY (209) 982-4298 PHONE <br /> ilavyD,-, w (209) 982- 1009 FAX <br /> TRACTOR LIC # TRUCK NUMBER <br /> NAME / � } � ! , ,'� ��[f�'� <br /> `'� TRAILER LIC # <br /> ADDRESS � <br /> CITY,STATE,ZIP `' TRAILER LIC # <br /> PHONE �r f r" r f f END WIMP BOTTOM DUMP TRANSFER <br /> SIGNATURE 61 AUTHORIZ D AGENT OR DRIVER DATE ROLL*F(S) FLAT-BED VAN DRUMS <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 DISPOSE BIO AERATE STOCKPILE OTHER <br /> reasonable efforts to promptly notify Disposer of its inability to accept the <br /> waste for any reason It Forwards refusal to accept the waste is based on ❑ SOI <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 <br /> ] SLUDGE <br /> REMARKSo NON FRIABLE <br /> ASBESTOS <br /> FACILITY TICKET NUMBER <br /> ❑ WOOD <br /> SIGNATURE OF AUTHORIZED AGENT DATE <br /> ❑ ASH <br /> -� + /' / J� � ✓ �Jf / r'' ❑ OTHER <br /> SCHEDULING MUST'BE MADE PRIOR TO 4 Ota 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 /> Too SCHEDULE CALL (209) 982- 298 SALES COPY MANIFEST # Ci 7 2n '� S <br />