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• FORWARD NON-HAZARDOUS WASTE MANIFEST <br /> N C O R P O R A T E D WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO, �_�jg <br /> ENERATOR REQUIRED PERSONAI.PROTE CTIVE-�QUiPMENTx:-;,ff <br /> Md$�IimpChok.� E]GLOVES [:]GOGGLES []RESPIRATOR ®HARD HAT <br /> "- ❑TY-VEK ❑OTHER <br /> ;IIA�GADDRESS� t :; .r °Yn-'�r 'p� . . <br /> �52fW a +t <br /> CITY;STATEZIP nV` r � SPECIAL HANDLING PROCEDURES <br /> ? Tr f y _ .. <br /> QCs ---�-� - <br /> JjiONPHON <br /> �3-201 _ <br /> CONTAC �ER50 <br /> �1CZC$dQ'S� <br /> SIGEVATURF AUTHORIZED"AGENT%TITLE Y DATA <br /> RECEIVING FACILITY,;,_r <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • ] DISPOSAL SOIL ❑ wooD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982~4298 PHONE <br /> '��� Ta'v (209) 982- 1009 FAX <br /> -� TRACTOR LIC # r TRUCK NUMBER <br /> I,IAMLE Tf'L.� [ l 1 r�C �,I V,C • 9f" 7� <br /> ADD � srk ow R(A TRAILER LIC # f W O j'_3'7 `� r" <br /> CITYh f f�si ( Q (� TRAILER LIC # <br /> i <br /> PHO �1- U , t. END DUMP BOTTOM DUMP TRANSFER <br /> J 11 l i'Wn L � ❑SIGHORIZED AGENT OR DRIVER DATE ROLL�FF(S) 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 .1 ' <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 DISPOSE BIO AERATE STOCKPILE OTHER <br /> reasonable efforts to promptly notsfy Disposer of its inability to accept the <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 Dispcser when site <br /> ' conditions are expected to change such that Forward will be able to accept <br /> the waste ❑ SLUDGE <br /> ` REMARKS <br /> NON-FRIABLE <br /> ❑ ASBESTOS <br /> FACILITY TICKFNUMBER <br /> ` � ❑ WOOD <br /> IGNATUR 06'I�UT RIIECdo ENT DATE <br /> / ,/ /% /f ❑ ASH <br /> 7k i` � •� � �� � ❑ OTHER mum <br /> 1 <br /> SCHEDULING 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 /> Fn1irus11NHtis c6 SALES COPY _ MANIFEST_# C, -7 <br />