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r.�ORWARD - NON-HAZARD <br />' �-►� INCORPORATED WASTE TREATMENT�ANWASTE <br /> o S OSMANIFEST <br /> TY <br /> % OB•ACCEPTANCE N0. 3�Q,rA <br /> GENERATORy <br /> Me] pita " �- r. 4 _ RE©UIRED PERSONAL PROTECTIVE EQUIPMENT - <br /> MAILING ADDRESS 2 w ®GLOVES ❑GOGGLES ❑RESPIRATOR ®HARD HAT <br /> 32 West Pmetreet °� _ ❑TY-VEK El OTHER <br /> SPECIAL HANDLING PROCEDURES <br /> SCA 93243'•�a _ v _ <br /> 943-2011 <br /> -- <br />' S��OF AUTHORIZED AGENT <br /> /TITLE DATE <br />' WASTE T' ' IVING <br /> FACILITY <br /> ElSLUDGE <br /> TREATMENT SOIL ❑ NON-FRIABLE ASBESTFORWARD INC LANDFILL <br /> DISPOSAL SOIL ❑ WOOD <br /> CONSTRUCTION SOIL ElASH 9999 SOUTH AUSTIN ROAD <br /> ❑ STOCK PILE ❑ OTHER <br /> GENERATING F,ACfLITY ANTECA, CALIFORNIA 95336 <br />' X209) 982-4298 PHONE 2l93 �1aiy Drive STDC1CIf}h� <br /> (209) 982- 1009 FAX <br /> AME` TRACTOR LIC # TRUCK NUMBER <br /> ADDRESS 7 �� ` r v r , ',� <br /> RAILER LIC # J �- <br /> .7 <br /> CITY,STATE, P <br /> TRAILER LIC # <br /> PHONE � <br /> L �� S END DUMP BOTTOM DUMP TRANSFER <br /> Du, ❑ ❑ <br /> SIGNATUR�-OF AUTH BIZED GEgT OR DRIVER DATE <br /> �, - ROLL-OFFS) FLA, <br /> VAN DRUMS <br /> 7�CEl ❑ <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 <br /> rf— <br /> Impairs the safe and effective operation of the Landfill Forward s <br /> reasonable efforts to promptly notify Disposer of its inability to achall cept the use DISPOSAL METHOD (TO BE COMPLETED BY FORWARD) <br /> waste for any reason If Forwards refusal to accept the waste ,s based on r _J DISPOSE 810 AERATE STOCKPILE OTHER <br /> en site <br /> weather or other site conditions Forward shall notify the Disposer wh <br /> ' conditions are expected to change such that Forward will be able to accept <br /> the waste <br /> • REMARKS ❑ SLUDGE <br /> ❑ NON-FRIABLE <br /> FACILITY TICKET,N6MBER/: ASBESTOS <br /> IGNATURE CSF AUTHORIZED AGENT DATE ❑ WOOD <br /> _yk "�� _/- ❑ 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 /> loul <br /> B4&CT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> S HEDULE CALL (209) 982-4298 <br /> (C9511NH)6 96 <br /> SALES COPY MANIFEST # C 7 2 n 2 4 Q <br />