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_ 1. <br /> FORWARD . NON-HAZARDOUS WASTE MANIFEST <br /> �► INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO 8800 j' . <br /> GENF�RA70F#;�',hja"y�Y� ■ �: '.H_ _ <br /> Md H P -4--" ��=--""��---�� REQUIRED PERSONAL PROT'EC7NE EQUIPMENT <br /> _..,add � �._._.�,�; ®GLOVES ❑GOGGLES [—]RESPIRATOR ®HARD HAT <br /> 1 MAILING ADDRESS" <br /> S21 Wets ❑TY-VEK ❑OTHER <br /> SPECIAL HANDLING PROCEDURES <br /> . lo&CA 95245(209)943-2011 <br /> ONTACTPERSON� <br /> SIGNA7UREf OF AUTHORIZED AGENT% TITLE DATE <br /> r 'WASTE TYPE RECEIVING FACILITY , <br /> ❑ SLUDGE <br />' ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • ZI DISPOSAL SOIL ❑AVOOD f <br /> b CONSTRUCTION SOIL_ p ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ STOCK PILE ❑ OTHER <br /> MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY _- (209) 982-4298 PHONE <br /> _191 Navy Thrsa ! ST47CA"'F'O�I <br /> (209) 982- 1009 FAX <br /> AME TRACTOR LIC # �- TRUCK NUMBER <br /> ADDRESS TRAILER LIC <br /> • CITY,STATE, ZIP • <br /> TRAILER LIC # <br /> • PHONE <br /> END DUMP BOTTOM DUMP TRANSFER <br /> ❑ ❑ <br /> SIGNAT13tE OFtiJ7'}IOR€ DAGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> FORWARD INC. LANDFILL CUBIC YA DS <br /> Forward shall have no obligation to accept the waste if weather or other /JJ� <br /> conditions impair the safe and effective disposal of the vtaste or if the waste <br /> impairs the sate and effective operation of the Landfill Forward shall use DISPOSAL METHOD (TO BE COMPLETED BY FORWARD) <br /> reasonable efforts to promptly notify Disposer of its inability to accept theDISPOSEI 810 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 sole ❑ �011_ <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste f <br /> REMARKS 0-SLUDGE <br /> ❑ NON-FRIABLE <br /> FACILITY T KET NUMBASBESTOS <br /> 7 ❑ WOOD <br /> GNAT Rt OF AU RIZED AGE DqT <br /> ��Gr ❑ ASH <br /> _- ❑ 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 BEFORE <br /> TO SCHEDULE CALL (209) 982-4298 <br /> F01 IC9511NHI B 96 <br /> SALES COPY MANIFEST # C 720241 <br /> 20241 <br />