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FORWARD � NON-HAZARDOUS WASTE MANIFEST <br /> t �b I N - <br /> C O R P O R A T-E D WASTE TREATMENT AND DISPOSAL FACILITY <br /> `JOB ACCEPTANCE N0. <br /> _ENER,4FOR ;,_ REQUIRE©PERSONAL PROTECTIVE EQUIPMENT _y <br /> ®GLOVES [:]GOGGLES ❑RESPIRATOR ®HARD HAT MAILING ADDRESSM'v^= ^; _ V `' y y Y p TY-VEK ❑OTHER <br /> S21 V4Te�3 Fiat�treei '-. -.: _STATE,7JP „y y -_ - ° x�'_ SPECIAL HANDLING PROCEDURES <br /> . �C,A�524S _ _ <br /> (209)�)43.20Y i _ n <br /> CONTACT PERSON- <br /> N-h*Banda - - <br /> SIGNATiJREyDF AUTHORIZED AGENT/ TITLE DATE <br /> WASTE TYPE_ RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • El 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 /> (209) 982- 1009 FAX <br /> ME /L I (2 u c��t TRACTOR LIC # TRUCK NUMBER <br /> L-71C� CG'��, SC <br /> ADDRESS �� ” TRAILER LIG # �� <br /> • CITY,STATE,ZIP <br /> TRAILER LIC # <br /> PHONE 6 END DUMP BOTTOM DUMP TRANSFER <br /> ❑ ❑ ❑ <br /> SIGNATURE OF THORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> ❑ ❑ ❑ ❑ <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 :f 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 inabflhty to accept the DISPOSE BIO AERATE STOCKPILE OTHER <br /> waste for any reason If Forwards refusal to accept the waste is based on <br /> weather or other site conditions Forward shall notify the Disposer when site ❑tOIL <br /> ' conditions are expected to change such that Forward will be able to accept <br /> the waste - SLUDGE <br /> REMARKS <br /> NON-FRIABLE <br /> FACILITY TICKET NUMBER / ❑ ASBESTOS <br /> ❑ WOOD <br /> GNATIJRE Of' LITHORIZED SENT pq E <br /> f �1� l' le ��f4 �, ❑ 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 /> tUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> 0 SCHEDULE CALL (209) 982-4298 <br /> O t(G951 INH)6 96 <br /> SALES COPY MANIFEST # C 720245 <br />