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r - FORWARD NON-HAZARDOUS WASTE MANIFEST <br /> oINCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY <br /> , <br /> - JOB ACCEPTANCE NO. <br /> _REOU!_RED PERSONAjPROTEC_T1VE EQUIPMEt+�TV�' a <br /> Mr�3 Barkin mokum 96LOVES [:]GOGGLES ❑RESPIRATOR ®HARD HAT <br /> KllAlLIN_�ADDiESS �`�rix :te�<.Fri " ❑TY-VEK ❑OTHER <br /> 521-��e <br /> F r r-17 _rte SPECIAL HANDLING PROCEDURES <br /> CITY,STATE.�� Ir r. . � ,:g� _..— '__ sx <br /> CDNTACT PERSO v�f- � <br /> i <br /> SIGNATUfi OFAUTHORIZED AGENTlTtL -' DAE. 7�7-- - <br /> -559 <br /> I_, `__.rW: RECEIVING FACILITY, <br /> .....,-.. - - .... « ...-�s- <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • FLI 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 /> (209) 982- 1009 FAX <br /> NAME r , TRACTOR LIC # TRUCK NUMBER <br /> ADDRESS Y ' y `' TRAILER LIC # <br /> f , <br /> • CITY, STATE,ZIP TRAILER LF # <br /> END DUMP BOTTOM DUMP TRANSFER <br /> ❑-`f - ❑ ❑ <br /> SIGNATURE OF AUTHORIZEbrAGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> T - ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL CUBIC YARD <br /> Forward shall have no obligation to accei&OWXeele if weather or other <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 Landfin 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 OUL-- <br /> conditions are expected to chance such that Forward will be able to accept <br /> the waste ❑ SLUDGE <br /> � REMARKS <br /> ' NON-FRIABLE <br /> ❑ ASBESTOS <br /> FACILITY TICKET NUMBE-ER <br /> �% j ❑ WOOD <br /> - GNATUfE OF AUrTNO {ZE AG T ATE <br /> >> r ❑ ASH <br /> --/-'( �/ / �1 �� / ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4 Op P W 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 fl tSCHEDU QLE CALL (209) 982-4298 <br /> SALES COPY MANIFEST # C 0 <br />