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: -FORWARD k NON—HAZARDOUS WASTE MANIFEST <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> dINCORPORATED 1 ► <br /> JOB�ACCEPTANCE NO. <br /> ENERAflR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> Md p�,j� 6 �GLOVES []GOGGLES ❑RESPIRATOR ®HARD HAT <br /> 1LING ADDRE ~�7-` �� ❑TY-VEK ❑OTHER <br /> 33'�V7estP� <br /> $TA � ,r j �v w �» -,v -�1 i h SPECIAL HANDLING PROCEDURES <br /> 4 •t , ; ' <br /> SCA 95245 <br /> 943-� <br /> !g RSO,N z�` z <br /> 1■ JIFK� j R w. 'K 4 / <br /> 4 <br /> SIGNA, F AUTHORIZED AGENT/,TITLE _� , DATE <br /> RECEIVING FACILITY - <br /> L <br /> F1 SLUDGE <br /> • ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • ] DISPOSAL SOIL [3 WOOD -9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> •• ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95&96 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> 2191N>;v'r]Dfrva (209) 982- 1009 FAX <br /> �, .} 'TRACTOR LIC #f�vl<< _ZSR C},J4UMBER <br /> NAME f'.'�� } � <br /> ADDRES f I t ( �f� 1 ti RAILER dd <br /> CITY, STATE,ZIP �✓ TRAILER LIC <br /> PHONE END DLJMP BOTTOM DUMP TRANSFER <br /> SIGNATURE OF "' <br /> AUTY�RIZED AGENT OR DRIVER DATE ROLLOFFF(S) FLAT-BED VAN DRUMS <br /> El <br /> FORWARD 1NC rjL_AND'FKL 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 DISPd�AL METHOD (TO BE COMPLETED BY FORWARD) <br /> impairs the safe and effective operation of the Landfill Forward shall use �--' DISPOSE 1310 AERATE STOCKRLE OTHER <br /> reasonable efforts to promptly notify Disposer of its inability to accept the <br /> L <br /> for any reason If Forwards refusal to accept the waste is based SOIL <br /> weather or other site conditions, Forward shall notify the Disposer wt�etl site , <br /> • conditions are expected to change such that Forward will be able to accept <br /> the waste [] SLUDGE <br /> ` REMARKS <br /> • NON-FRIABLE <br /> ❑ ASBESTOS <br /> FACILITY KET NUMBER/ WOOD <br /> GNATU E OF AU IZ AGT, DTE <br /> ❑ ASH <br /> 7k r ❑ OTHER <br /> ISCHEDULING 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 BEFORr <br /> TO SCHEDULE CALL (209) 982-4298 # C <br /> Fol(C951INH)6 96 - SALES COPY MANIFEST- — 1 <br />