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f�'I U {WARD NON-HAZARDOUS WASTE MANIFEST <br /> _'I_IUPC O R P O R A T E D WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB"ACCEPTANCE NO. <br /> MCIB -p <br /> ._r ;r_, , +tea- ;r� e - A REQUIRED PERSONAL,PROTECRVE IEOUIPMENT, <br /> MCI Earidc� <br /> LING Ae ESS -� <br /> GLOVES 0❑GOGGLES ❑RESPIRATOR HARD HAT <br /> OTHERN-VEKs1 <br /> r +CY STA "''� ? -� "` - r - SPECIAL HANDLING PROCEDURES 4 <br /> S GI NAPTUR F AUTHORIZED AG)=NT TITLE DATE <br /> WASTE TYPE RECEIVING FACILITY <br /> 4 <br /> -r <br /> ❑ SLUDGE - <br />' ❑ TREATMENT SOIL [3 NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> * fFL] 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 />' 2191.NANYI)rrvx 4TOCKTON (209) 982- 1009 FAX <br /> E TRACTOR LIC # TRUCK NUMBER <br /> ADDRESS TRAILER`LCL # <br /> • CITY, STATE, ZIP TRAILER LIC'#` + <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> SIGNATURE F AUTHORIZED AGENT OR DRIVER DATE ROLL-❑OFFS FLAT-BED VAN ❑ <br /> �, OFF(S) DRUMS <br /> Q r t ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste if weather or other 1 �' <br /> conditions impair the safe and effective disposal of the waste or it the waste DISPOtAL 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 if Forwards refusal to accept the waste Is based on <br /> weather or other site conditions Forward shall notify the Disposer when site 1,0"SOIL <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste <br /> REMARKS fl SLUDGE <br /> ' NON-FRIABLE <br /> FACILITY TIC T NUMBER ASBESTOS <br /> i <br /> ❑ WOOD <br /> SIGNATUR OF AIjTH IZED AGENT DATE' <br /> t <br /> El ASH <br /> I ❑ OTHER <br /> SCHEDULINtk—MUST BE MADE PRIOR O00 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 1C951 SNH)6 86 SALES COPY MANIFEST # C 715016 <br />