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ORWARD NON-HAZARDOUS WASTE MANIFEST I <br /> INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY <br /> ^ �+ <br /> - JOB ACCEPTANCE NO. 3} <br />'[�M32 <br /> r <br /> TOR � REQUIREQ aERS#3�nGLOVES �GOGGLES ❑RESPIRATOR ®HARD HAT <br /> ❑TY-VEK ❑OTHER <br /> NGADDR�V+�es!Px a> w <br /> TATE;?P; _. s ``,�' ' '� � r �Mail <br /> ; - SPECIAL HANDLING PROCEDURES <br /> rr <br /> 200)4.43-2011 <br /> IAN_TAC_-PER_ <br /> lYKS►i]aC1EZ�.'i .-.�»a:�.e1».�B.._�...^,x.'ma�.......vi..:.� »xz,.s�«...-..�" --.. <br /> SIGNABnE OF AUTHORIZED AGENT 1,T1TLE DATE '..-f"� <br /> RECEIVING FACILITY- <br /> WASTE TYPE* . _-",:' <br /> ❑ TREATMENT 501L 1-1 SLUDGE <br /> NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • �] DISPOSAL SOIL E] WOOD gggg SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> • ❑ STOCKPILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> 2191 Navy Dtxf (2 0 9) 982- 1009 FAX <br /> NAME �fr TRACTOR LI # TRUCK_N <br /> UMBER <br /> yL1<�k /� RC �" <br /> ADDRESS TRAIL LI <br /> -SI <br /> �f �j <br /> • CITY,STATE, 15�', / � u TRAILX(It# <br /> /7" S 2 G fr - <br /> • PHONE END DUMP BOTTOM DUMP - TRANSFER <br /> SIGNATURI OF Uh4ORIZrD AGENT OR DRIVER DATE ROLLIO�FF(S) FLAT-BED VAN DRUMS <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste of weather or other <br /> I conditions impair the safe and effective disposal of the waste or if the waste DISPOSAC METHOD (TO BE COMPLETED BY FORWARD) <br /> impairs the safe and effective operation of the Landfill Forward shall use DISPOSE B10 AERATE STOCKPILE OTHER <br /> reasonable efforts to promptly notify Disposer of its inability to accept the <br /> waste for any reason If Forwards refusal to accept the waste is based on ey <br /> weather or other site conditions Forward shall notify the Disposer when site SOIL <br /> ' con6tions are expected to change such that Forward will be able to accept <br /> the waste ❑ SLUDGE <br /> REMARKS <br /> ❑ NON-FRIABLE <br /> �r <br /> FACILITY TICY 'T_NUIvIBER� ASBESTOS <br /> // /- r ❑ WOOD <br /> GNATURE OF/AU �dfitIZE AGE T DATE <br /> ❑ ASH <br /> • f � <br /> �f `J <br /> [:] OTHER r <br /> SCHEDULING MUST BE MADE PRIOR TO 4 OQ 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"8298 <br /> Fo,tt954,NHI6 96 SALES COPY MANIFEST # C 7149 q R <br />