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t -.FORWARD NON-HAZARDOUS WASTE MANIFEST <br /> •' I N C O R P O R A T I„D WASTE TREATMENT AND DISPOSAL FACILITY <br /> " JOS ACCEPTANCE NO. $�3 <br /> GENERAx.� REQUIRED PERSONAL PROTECTJVE EQUIPMENT ,£ a- <br /> M� <br /> F)GLOVES [:]GOGGLES []RESPIRATOR ®HARD HAT <br /> r MA1LI�NGRTwg [:3TY-VEK [:]OTHER <br /> 521Pme -- <br /> OI ,STSPECIAL HANDLING PROCEDURES <br /> ` k9A BJP <br /> 2 <br />' 'CONTACT�J'ERSONr <br /> SIGNATURE-,OF AUTHORIZED AGENT/�iTLE:�_ 4 DATE, rte" <br /> .s <br /> WASTE PE ' w^ti_;-� 3 --` RECEIVING FACILITY- <br /> SLUDGE <br /> ACILITY,SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • DISPOSAL SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ASH <br /> ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> 2191 Navy Drt:*� STOC=N (209) 982- 1009 FAX <br /> NAME ^� TRACTOR LIC # TR <br /> �r J� LICK NUMBER <br /> ADDRESS TRAILER LIC#��" ° <br /> ��A:5' N, Lr�y ���1 i 7CITY, STATP J - TRAILE4 LIC <br /> - PHONE�'1 G C <br /> END DUMP BOTTOM DUMP TRANSFER <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DAUI S <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste if weather or other <br /> conditions Lmpair the safe and effective disposal of the waste or if the waste DISPOSALVETHOD (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 ❑�II <br /> • conditions are expected to change such that Forward will be able to accept <br /> the waste <br /> REMARKS SLUDGE <br /> NON-FRIABLE <br /> /� ~ ❑ <br /> FACILITY TICKET NUMBER ASBESTOS <br /> /� ❑ WOOD <br /> IGNAT E OF AUTIJ IZED AGE L DATE <br /> ❑ ASH <br /> ' / // G/ ❑ OTHER <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 /> FO (C95iiNH)s P6 SALES COPYMANIFF4T-# C _-'7 r'i- <br />