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it <br /> �i <br /> FORWARD "' NON-HAZARDOUS WASTE MANIFEST <br /> WASTE TREATMENT AND DISPOSAL FACILITY .` <br /> INCORPORATED a, <br /> JOB-ACCEPTANCE NO. <br /> REOUIRED PERSONAL PROTECTIVE EOUIPMENT, <br /> MCI a� Petal 91GLOVES ❑GOGGLES ❑RESPIRATOR ®HARD HAT <br /> MAILING ADORES " <br /> S?�° ���3r .__' �'w � W .ate ❑ fY-VEK [:]OTHER <br /> �2I We><t Pine�l+eg _' <br /> STATE i ' : _ �� ;- SPECIAL HANDLING PROCEDURES <br /> _ kwr <br /> � <br /> PHONES" <br /> . r:' - � , --- -� -- <-• <br /> (201)443-201 y. : _ 4K �- .__ ° - <br /> Alio <br /> SIGNATURE OF AUTHORIZED AGENT%TITLE r. DATE ` <br /> WASTE P*PE'_, _ y; RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> DISPOSAL SOIL ❑ WOOD <br /> CONSTRUCTION SOIL ASH <br /> 9999 SOUTH AUSTIN ROAD <br /> ❑ ❑ <br /> ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> =ff '�'av ' e �'�" `�'� (209) 982- 1009 FAX <br /> NAME R y c ki j fC TRACTOR LIC 3/1 <L 2(7 TRUCK NUMBER <br /> TRAILER LIC # I <br /> ADDRESS I ��� �ryJf,�.! �1,# ! ��� ���', <br /> CITY, STATE, ZIP 6 13 3 TRAILER LIC # <br /> PHONE /74c-,y1oa Gc4c k' 114# END DUMP BOTTOM DUMP TRANSFER <br /> SIGNATURE 09 AUTHORIZED AGENT OR DRIVEL DATE ROLL' FF(S) FLAT-BED VAN DRUMS <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shalt 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 <br /> weather or other site condiirons Forward shall notify the Disposer when srie ❑ SOIL <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste <br /> ❑ SLUDGE <br /> REMARKS <br /> NON-FRIABLE <br /> FACILITY TICKET NUMBER ASBESTOS <br /> ❑ WOOD <br /> IGNATURE OF AUTHORIZED AGENT DATE <br /> ❑ ASH <br /> 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 <br /> Fol cc951INHt6 96 SALES COPY MANIFEST # C <br /> 7 <br /> r? (1 <br />