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EORWARDNON-HAZARDOUS! N C� O R,P O R A T E D TREATMENT AvDWASTE <br /> DISPOSAL AGILITY <br /> MANIFEST <br /> ` JOB ACCEPTANCE NO, r�- :N - - <br /> ' id GENERA QR, �. � =.F .a • �., a -.-- _ REQU1FiEI)PERSONAL PROTECTIVE EQUIPMENT' <br /> v`++ww1�� i 1� =..._� �.S w'ins...y., t`. <br /> � - y - ©GLOVES [:]GOGGLES ❑RESPIRATOR ®HARD HAT <br />' 321 Went Fie$>r>� "` _ _ �x�� __ �" �� _���w- a' _- ❑TY-VEK ❑OTHER <br /> CITY,STAT ZIPS `wl; "`' - SPECIAL HANDLING PROCEDURES <br /> • t kC,&9S243 <br /> (20)9_43-2011 <br /> Nsi Boridm <br /> SiGIVATi IRE OEAUTIJQRIZ D AGENT%TITLE y DATE <br />' WASTE ­ 'PE � 4 <br /> RECEIVING FACILITY <br />' ❑ TREATMENT SOIL <br /> SLUDGE � <br /> ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> DISPOSAL SOIL ❑ WOOD <br /> CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ STOCK PILE ❑ OTHER <br /> MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY <br />' (209) 982-4298 PHONE <br /> I91 ?4,&N'v D.-we 5T 0CF•I'033 <br /> (209) 982- 1009 FAX <br /> J C TRACTOR LIC # <br /> • ADDRESS .� -j <br /> ( �a'Z TRUCK NU <br /> MB <br /> ER <br /> 71 oj�S YV <br /> 1/)-T- <br /> � /TRAILER LIi <br /> CITY, STATE,ZIP kx <br /> PHONE Cy TRAILER LIC # <br /> EW—Q�Q�MP BOTTOM DUMP <br /> ;DRUMS <br /> SFER <br /> SIGNATURE OF AUVORIZED AGENT OR DRIVER DATE ❑ ❑ <br /> ROLL-OFFS) FLAT-BED VAN <br /> U 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 tf the waste! "� �` <br /> Jmpa�rs the safe and effective operation of the Landfill Forward shall use' (TO SE COMPLETED BY FORWARD) <br /> reasonable efforts tosooserits DISPOSAL' MET-HOD <br /> waste for any reason pIfoForwardstof refusal to accept the inabw{asteois based accept ton � 'r_ <br /> DISPOSE BIO AERATE STOCKPILE OTHER <br /> weather or other site conditions, Forward shall notify the Disposer when site SOL <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste <br /> REMARKS ❑ SLUDGE <br /> FACILITY TICKET NUMBER ❑ ASBESTOS ASBE <br /> SIGNATI IFIE OFA ❑ WOOD <br /> / �fZFD /ENT - DATE <br /> ❑ ASH <br /> 1 ❑ OTHER <br /> SCHEDULING MUST SE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL • <br /> ANY UNSCHEDULED LOADS ARE <br /> UBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL TH DAYY BEFORE <br /> OU <br /> SCHEDULE CALL (209) 982.4298 <br /> ,(C951INH)6 96 <br /> SALES COPY MANIFEST # C 0-? <br /> C <br />