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FORW .R� NON-HAZARDOUS WASTE MANIFEST <br /> - t+b INC ® R P O R A T E D 1 WASTE TREATMENT AND DISPOSAL FACILITY <br /> --� JOB ACCEPTANCE NO. 883300�tiy ~_T <br /> I - �-.� - ' .-. _ �-'1 � <br /> ENEiAT01 `, �, y _ REQUIRED PERSONAL PROTECTIVE EQUIPMENT_ _ <br /> Md s�� _ I!]GLOVES E3 GOGGLES C] ®RESPIRATOR HARD_HAT <br />' NWlLtNGADDRESS =�, ,`" �k S - - '- ❑ K ❑ <br /> S2R'�t I�me f�tree3 . r " ` OTHER <br /> ' ha$TATE;7J! l T"` ^" SPECIAL HANE3L�NG PROCEDURES <br /> 1o�,C,4952dS� YT <br /> • "°�" ,- —•Vis + -u u_w 'ri d <br /> J�ONE _ <br /> (2A9)043-2011 <br /> Nick <br /> SIGNATLtRE OC,UT iORIZED AG�N7/ TITI BATE " <br /> •' a_ - - w- <br /> • RECEIVING FACILITY <br />' ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • F1 DISPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br />' ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> 21.01 ?lacy+rhlw -TOCKTON <br /> (209) 982- 1009 FAX <br /> NAME f r TRACTOR LIC # r � TRUCK NUMBER <br /> ADDRESS TRAILER LIC # <br /> • CITY, STA E,ZIP TRAILER LIC # <br /> PHONE` � ',? y-- � <br /> _ END DUMP BOTTOM DUMP TRANSFER <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL`-OFFS) FLAT-BED VAN DRUMS <br /> i <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 Inabilrty to accept the DISPOSE BIO AERATE STOCKPILE OTHER <br /> waste for any reason If Forward's refusal to accept the waste is based on <br /> weather or other site conditions Forward shall notify the Disposer when site ❑ 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 /> GNATURE OF AUTHORIZED AGENT DATE <br /> / f ❑ ASH <br /> ❑ OTHER <br /> WSCHEDULING MUST BE MADE PF?IOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> UBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> O SCHEDULE CALL (209) 982-4298 <br /> Os IC8511NIit 6 96 <br /> SALES COPY _ MANIFEST # C 7 <br />