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(& (-FORWARD NON-HAZARDOUS WASTE MANIFEST <br /> WASTE TREATMENT AND DISPOSAL FACILITY INCORPORATED <br /> JOB ACCEPTANCE NO. r-883300 ' <br /> ; ,�: REQUIRED PERSONALPR07ECTIVE EQUIPMENT. _ <br /> GLOVES [:]GOGGLES ❑RESPIRATOR ®HARD HAT <br /> _MAILWG ADDRESS'—�` '' ", t N_ r_, �. „~ � ❑TY-VEK ❑OTHER <br /> 521*eat P oe fted SPECIAL HANDLING PROCEDURES <br /> iedLCA952,43 - w <br /> (209)943-2011 M _ <br /> CONTACT PERSON, <br /> I+fi�t Bocitles <br /> S1G _ <br /> iatURE OF AUTHORIZED AGENT!TITLE DAT <br /> WASTE?YPE _- RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> fop <br /> + ] 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 /> (209) 982- 1009 FAX <br /> MI` i <br /> TRACTOR LIC ele6 X TRUCK NUMBER <br /> ADDRESS > r t { f TRAILER LIC <br /> • CITY,STATE, Zip � <br /> TRAILER LIC # <br /> PHONE J END DUgP BOTTOM DUMP TRANSFER <br /> ❑ ❑ <br /> SIGNATOR E KGTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> / r ❑ ❑ El <br /> FORWARD44C. LANDFILL CUBIC YARDS <br /> Forward shalf have no obligation to accept the waste if weather or other ! <br /> conditions impar 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 ISTOCKNI-E 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 SOIL <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 ❑ SLUDGE <br /> + REMARKS NON-FRIABLE <br /> ❑ ASBESTOS <br /> FACILITY TICKET NUMBER <br /> ❑ WOOD <br /> IGNATURE OF AUTHORIZED AGENT DATE <br /> C] ASH <br /> 7fC �', ❑ 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 MANIFEST # C2 `~ <br /> F01 4CS51 INH)6 P6 SALES COPY �„ 5 <br />