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FORWARDNON-HAZARDOUS WASTE MANIFEST WASTE TREATMENT AND DISPOSAL FACILITY <br /> INCORPORATED - <br /> JOB <br /> ACCEPTANCE NO.- <br /> TE <br /> O. ERSO O LI1ME -rte <br /> E y� GLOVES ❑GOGGLES [:]RESPIRATOR HARD HAT <br /> D ❑TY VEK ❑OTHER <br /> iIV - <br /> SPECIAL HANDLING PROCEDURES <br /> ON - <br /> 74 ';?'1 '— ~Q/ <br /> =CO ER90 <br /> SIGNAL"[JRE�OF,�Al37} ORIZDAGENT 1 TITLE . DA .:7= <br /> IVASTI= PE `'�" ism RECEIVINGFACLUTY� :: <br /> . .� � _ <br /> ❑ SLUDGE <br /> • ❑ TREATMENT SOIL F1NON-FRIABLEASBESTOS FORWARD INC LANDFILL <br /> • WDISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> r❑ CONSTRUCTION SOIL ❑ ASH <br /> .. ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> • GENERATING FACILITY _ ,, _ _ _ 4 -_ H_ _ (209) 982-4298 PHONE <br /> 1; (209) 982- 1009 FAX <br /> _ t <br /> NOT ^ v <br /> NAME ,_' . : ':j." ♦' a°_� v._ _ES -, _ _ _ TRUCK NUMBER y <br /> ADDRESS elf - <br /> . CETY,STATE,_Zl <br /> • PHONE "t �f' �' - _ .f _ r T E D DUMP BOTTOM DUMP TRANSFER <br /> a" <br /> SIGNgl.RE,_OF AUTHOR±E6_/ ENT OR DR_IVER _ _DATEEl El 0 <br /> _ ,ROLL-OFFtS)r FLAT BED VAN DRUMS <br /> FORWARD INC. LANDFILL cuBLCYARDs, <br /> Forward shall have no obligation to accept the wasted weather or ocher <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 notify Disposer of its inability to accept the �4 .- .. - - <br /> waste for any reason If Forwards refusal to accept the waste is based on SOIL <br /> weather or other site conditions, Forward shall notify the Disposer when site <br /> • conditions are expected to change such that Forward will be able to accept <br /> the waste ❑ SLUDGE <br /> • ---�— �fsr,..� ��.�r+cy^,fin'.`.=—n"`�.y.�--,.Tz�r+�r�.-.r,�..w�-..^ <br /> • NON-FRIABLE <br /> - ., 4 r�-.s,�c, �,��,,,4a tea-:,K 7, ❑ ASBESTOS <br /> ❑ <br /> -- w WOOD <br /> SIGNATURE O AO.RILED AG <br /> ❑ 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 MANIFEST # 57839 <br />