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jORWARDNON—HAZARDOUS WASTE MANIFEST <br /> - <br /> CORPORATE D WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. <br /> ENREQUIRED RE�35gg& �C <br /> ZRO7T1VE EOUIPMEN190SE—IL' <br /> 1 e'5F �v 1 <br /> GLOVES ❑GOGGLES []RESPIRATOR ❑HARD HAT <br /> G° D TY-VEK []OTHER <br /> i ! <br /> META SPECIAL HANDLING PROCEDURES <br /> OON? <br /> tic <br /> SIGNATURE�!&A ;TQH0RIZED`AGEN �;!f7l_E DAT_E.7 <br /> '1NASTE=TY _ ya z «a- �__-,Z ;�_ q- RECEIVING FACILITY� .�: w�.s:.a ='tom=== `� i <br /> ❑ SLUDGE <br /> ` ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL ; <br /> • ~DISPOSAL SOIL ❑ WOOD gggg SOUTH AUSTIN ROAD <br /> E] CONSTRUCTION SOIL ❑ ASH 1 <br /> •• ❑ OTHER MANTECA, CALIFORNIA 95336 l <br /> -GENERATINGFACIIJITY - - _ea_ (209) 982-4298 PHONE <br /> _� ._ . <br /> (209) 982— 009 FAX <br /> NOTES _ _ _ TRUCK NUMBER <br /> ADDRESS <br /> •CITY,STATE,ZIP <br /> END DUMP_ BOTTOM DUMP _ TRANSFER <br /> 0 El <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE -ROLL-OFF(S) FLAT-BED FLAT-BED " VAN DRUMS <br /> FORWARD INC. LANDFILL CUBIC YARDS` <br /> Forward shall have no obligation to accept the waste if weather or other <br /> conditions impair the safe and effective disposal of the waste or it the waste DISPOSAL METHOD JO 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 inabiiity to accept the _ _, <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 /> NON-FRIABLE <br /> . ❑ <br /> .� _ . .r.x,. ,.- ».r.- T«Y s.� -•� ASBESTOS <br /> FACILITY;/C IrT NU,Jv1BEF� ..r.;,;; �� ;,�r �` ' " ❑ WOOD <br /> G R�F�F� ,jRfz-tD AGENT'--_-T ATE 'e,µms 7 <br /> * `s D <br /> U . ` j ❑ ASH <br /> i1 r� ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4 DD 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 - 57818 <br /> MANIFEST # <br />