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f- ORWARD NON-HAZARDOUS WASTE MANIFEST i <br /> CORPO RATED WASTE TREATMENT AND DISPOSAL FACILITY <br />{_ <br /> JOB ACCEPTANCE N0. 18833W <br /> GE " ' t' - -' --�w ""- r -' _ _ REQUIRED PERSONAL PROTECTIVE EQUIPMENT - <br /> Md Barl6cs P _ GLOVES [:]GOGGLES ❑RESPIRATOR ®HARD HAT <br /> 1�G a DDRESS x� _'�`"�",� _' ' -w ;�' Y ❑TY-VEK ❑OTHER <br /> S2 i V4'�st Pme Btre� ��� �� <br /> 11(209)943-2011 <br /> PSPECIAL HANDLING PROCEDURES <br /> JJCA9524MON� • <br /> CONTACT PERSONS ��.r � <br /> N-Wit Bor>deve <br /> 5}GNAfbFREdF AUThIORIZED AGENT%TITLE DATE <br /> 149 <br /> • WASTE T E.' RECEIVING FACILITY <br /> [:3 SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • F] 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 /> 2191 Nayy Dma 209 982- 1009 FAX <br /> NAME TRACTOR LIC # TRUCK NUMBER <br /> f <br /> ADDRESS TRAILER LIC <br /> CITY,STATE,ZIP TRAILER L1C # , <br /> PHONE �--- �- .;z r., END DUMP y_ BOTTOM DUMP TRANSFER <br /> SIGNATURE QF AGF�jJT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> El <br /> CUBICYARDS <br /> FORWARD INC. LANDFILL <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 ' DISPOSE BIO AERATE STOCKPILE OTHER <br /> waste for any reason If Forwards refusal to accept the waste is based on SOIL <br /> weather or other site conditions, f=orward shall notify the Disposer when site <br /> conditions are expected to change such that Forward w.ill be able to accept <br /> the waste ❑ SLUDGE <br /> REMARKS <br /> NON-FRIABLE <br /> ASBESTOS❑ ASBESTOS <br /> FACILITY TICf & NUMBER„ <br /> /: ❑ WOOD <br /> IGNATO RE OF AQ RIZED AGENT DATE <br /> '� �`) / ��-�. ❑ ASH <br /> / ❑ OTHER <br /> r <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 <br /> FO1(c95:,NH)6 96 SALES COPY MANIFEST # C 7 7J12_P,_1 <br />