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FORWARD NON-HAZARDOUS WASTE MANIFEST <br /> �►� - I N C O R P O R A T E D WASTE TREATMENT AND DISPOSAL FACILITY j <br /> `JOB ACCEPTANCE NO. - 883300 <br /> _REQUIRED PERSONAL PROTECTIVE EQUIPMENT_ <br /> ic7SwidesFeUvkxm - -,` ®GLOVES ❑GOGGLES ❑RESPIRATOR ®HARD HAT <br /> MAIUNG ADDRESS ` Yy -w_ [:]TY-VEK ❑OTHER <br /> CITY,ST/At�TE; SPECIAL HANDLING PROCEDURES <br /> �• CA 7r�245—.5.�`L.�.K»�—w <br /> • Pa-LONE�r-�•"�.�`. ._...� -��.._�t M� ^_ _ __..,.,,a�...._.�.,--_ w�,.,r _F <br /> (209)943-2011 <br /> CONTACT PIRSON � <br /> ?4t4k <br /> SIGNATU_RE J0_FAIAUTHOR ZEffD AGENT/ TIT_LE_�w' DAT-E <br /> WASTE TYPE <br /> RECEIVING-FACILITY A - <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • ] 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 /> 2-133' �'^'r"'`� �Trmr (209) 982- 1009 FAX <br /> ME TRACTOR LIC # TRUCK NUMBER <br /> ADDRE P ; TRAILER LIC # ^' s <br /> CITY,STATE, ZIP TRAILER LIC # <br /> PHONE /- END DUMP BOTTOM DUMP TRANSFER <br /> SIGNATURE OF;,AUTHO_RIZED_1AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> l� El 0 ❑ <br /> FORWARD INC. LANDFILL CUBIC YA DS <br /> Forward shall have no obligation 10 accept the waste if weather or other C <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 inability to accept the ___ DISPOSE BIO AERATE STOCKPILE OTHER <br /> waste for any reason it Forwards refusal to accept the waste is based <br /> weather or other site conditions, Forward shall notify the Disposer when SOIL site ❑ <br /> ' conditions are expected to change such that Forward will be able to accept <br /> the waste ❑ SLUDGE <br /> REMARKS <br /> ' <br /> ❑ NON-FRIABLE <br /> FACILITY TICKET NUMBER ASBESTOS <br /> / ❑ WOOD <br /> NATURE/Of UTHORIZED AGENT DATE <br /> ASH <br /> r i <br /> t �' `T� / / ❑ OTHER <br /> CHEDULING MUST BE MADE PRIOR TO 4 OO 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 /> f07IGS577NH16 96 <br /> SALES COPY MANIFEST # C 720243 <br />