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# --F0R ARD NON-HAZARDOUS WASTE MANIFEST <br />' INCORPORATED s WASTE TREATMENT AND DISPOSAL FACILITY <br /> _ JOB ACCEPTANCE N0. $$33U <br /> GENE O - "-xm 41 <br /> _ K—�•„: - " REQUIRED PERS_ONAt PR07ECTIVE EQUIPMENT"" <br /> GLOVES ❑GOGGLES ❑RESPIRATOR ®HARD HAT <br /> ❑TY-VEK ❑OTHER <br /> ; � ZJP = •+4a _ r " L ,Q SPECIAL HANDLING PROCEDURES <br /> cor�ERSON�.�'� <br /> �F AUTHORIZEd AGENT!_TIwTLE' DAfiEr ���t� <br /> 9 4 fc 19 1 —f <br /> �..»� z, RECEIVING FAC1LITY_� <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • JD DISPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br />' ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA -95336 <br /> GENERATING FACILITY 209) 9$2-4298 PHONE <br />' 419IN,myDmv- (209) 982- 1009 FAX <br /> ME,n TRACTOR LIC # TRUCK NUMBER <br /> ADDRESS TRAILER LIC # <br /> - CITY, STAT E,QIP L r ' -' TRAIL LIC # <br /> PHONE - <br /> - / END DUMP BOTTOM DUMP TRANSFER <br /> 13 El El <br /> SIGNATURE,OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> 0 E3 <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shalf have-ic obhgatoon to accept the waste if weather or other Li <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 BIO AERATE STOCKPILE OTHER <br /> waste for any reason if Forward's refusal to accept the waste is based on <br /> weather or other sate conditions, Forward shall notify the Disposer when siter SOIL <br /> conditions are expected to change such that Forward will be able to accept- <br /> the waste <br /> REMARKS <br /> - E] SLUDGE <br /> ❑ NON-FRIABLE <br /> FACILITY TICKET'6IUMBER ASBESTOS <br /> ❑ WOOD <br /> GNATUF�E OF qU P �iZED AGENT DATE <br /> J/ ❑ 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 /> UBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> O SCHEDULE CALL (209) 982-4298 <br /> F01(CB51INH)5 86 <br /> SALES COPY MANIFEST # C 71 A q Q 9 <br />