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e-_,-_ ORWARD , ; NON-HAZARDOUS WASTE MANIFEST <br /> . I C O R P O R A r E D _ WASTE TREATMENT AND DISPOSAL FACILITY <br /> _ JOB ACCEPTANCE NO. <br /> AV REQLL ERSQNAL,A TECTI16 EOUIPME_N_L `�f",�,;;,,; <br /> 1 B�jd[a Pew f]GLOVES Q GOGGLES [:]RESPIRATOR ®HARD HAT <br /> '32rI G 1D�,,DRESS ��F _ ❑TY-VEK [:]OTHER <br /> e SPECIAL HANDLING PROCEDURES <br /> �IIY=STA ZIP <br /> (2 - S t �' <br /> 1CONTA <br /> kE _ <br /> 51GiWURE OF AlJ7HORIZED AGENT��TiTLE <br /> • WASTETY , ��'-„�~.�: � �< "�^'-.`'� _<`;: -z, jj RIECEIVING FA <br /> _ CIt i <br /> =... _...,��_ - "..y 1••• <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • fg] DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORIIA 95336 <br /> GENERATING FACILITY _ (209) 982-4298 PHONE <br /> 2191 NoyDtm& STOck-roN (209) 982- 1009 FAX <br /> ME ty ref "T"Q TRACTOR LIC #� � �K% TRUCK NUMBER <br /> f 1 f� !v _f <br /> ADDRESS �� � � TRAILER LIC # It&P1-3q <br /> CITY,STATE:,ZIPgq lrc('4j2� � TRAILER LIC # <br /> PHONE ��� �� � �fl�,,—� END DUMP BOTTOM DUMP TRANSFER <br /> w L4H/ 17 <br /> _ SIGNATUR OF AIllUU777TTT1`HORIZ DAGE�JT OR DRIVER ATE ROLt`-OFFS) FLAT-BED VAN DRUMS <br /> r `I ❑ ❑ ❑ ❑ <br /> 4) <br /> t <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste if weather or other <br /> conditions impair the sale and effective disposal of the waste or if the waste DISPO8-Al- 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 SfocK�Le 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 '❑}SOIL <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 TICK NUMBER <br /> _ , - ❑ WOOD <br /> GNATU�/-/AFIO E AGENT DATE <br /> E] ASH <br /> /� // ❑ 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 SALES COPY MANIFEST # C '7 r] Q <br /> F01 IG9511NH)6 P6 l J O <br /> At <br />