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s _ <br /> (& '.FOttVV�lt� NON-HAZARDOUS WASTE MANIFEST <br /> INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. <br /> REQI)1RED PER!O0 LOTECGn%T EQUIPMEIyT� <br /> B�t� �]GLOVES [I GOGGLES Q RESPIRATOR ®HARD HAT <br />' 3�T�VCIRE ,aW " '�'- Mab " '' ❑TY-VEK [:]OTHER <br /> •STAT>w�iP '- -a �``� +�"� �t �� SPECIAL HANDLING PROCEDURES <br /> ROM <br /> CANTACT`PERSON ,�7 -F m' <br /> 51GNATURE±DF AU35iORIZED AGENT'!TRLE zr DATE "�r <br /> 7�C <br /> WASTE,7�SPE°�� r <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE:ASBESTOS FORWARD INC LANDFILL <br /> + ] DISPOSAL SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ASH <br /> •' ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY rrI I <br /> (209) 982-4298 PHONE <br /> '191 Navy Dnae STOCK-1101; (2 0 9) 982- 1009 FAX <br /> AME _ TRACTOR LIC # TRUCK NUMBER,_ <br /> ADDRES j Ti�IL 'LIC # FD <br /> � 3 r <br /> • CIT,STATE, F 'y / TRAILdl-C�# <br /> • PHON - t'G <br /> END DUMP BOTTOM DUMP TRANSFER <br /> SIGt�CATURE OF AU]HORIZED AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED❑ VAN D—R MS <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste if weather or other L� <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 <br /> reasonable efforts to promptly notify Disposer of its inability to accept the DISPOSE 810 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 nollfy the Disposer when site SOIL <br /> conditions are expected to change such that Forward will be able to accept / r <br /> the waste -� ❑ SLUDGE <br /> REMARKS_ <br /> ❑ NON-FRIABLE <br /> FACILITY TICKET NASBESTOSUMBER� <br /> ' / El wool) <br /> NATUR�ZIF AUTHORIZED AGE T D 7E <br /> 7�C � � f` '� �l<✓` t I �� ❑ ASH <br /> r OTHER <br /> ❑ <br /> CHEDULING MUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> UBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> O SCHEDULE CALL (209)982-4298 714 %1394 <br /> FO1(C9511NH)6 B6 SALES COPY MANIFEST # C <br />