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3 <br /> ' NON-HAZARDOUS WASTE MANIFEST' <br /> FORWARD WASTE TREATMENT AND DISPOSAL FACILITY , <br /> Lid INCORPORATED <br /> - = JOB ACCEPTANCE NO. <br /> MEN <br /> RJul ED' SO AOT£C� <br /> G E r N GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> G E ❑TY-VEK ❑OTHER <br /> SPECIAL HANDLING PROCEDURES <br /> • f * ��� <br /> 01 <br /> RSOON <br /> S GNATURE OF AUTI-IORIZRD;AGEN 4 TITLEMr <br /> FACILITY <br /> i <br /> ❑ SLUDGE FORWARD INC LANDFILL <br /> ❑ TREATMENT SOIL F1NON-FRIABLEASBESTOS <br /> • ,C2�VSPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> '❑ CONSTRUCTION SOIL ❑ ASH <br /> •• ❑ OTHER MANTECA, CALIFORNIA 9533.6 <br />' <br /> GENERATING FACILITY <br /> (209) 982-4298 PHONE_ " '1 _ ,�� _ ,� _ -_ <br /> (209) 982- 009 FAX <br /> --NOTES_-" <br /> -NOTES_ . <br /> TRUCK NUMBER <br /> a �•T1 —,_= T J A V � N v �� l�j C `J `) (� f� !I i f - <br /> ADDRESS °ti ` <br /> CC <br /> • � CITY,STATE, ZI .-W �, .... _..' -_ _r <br /> f l _ <br /> PHONE v END DUMP,'_, _M BOTTOM DUMP-, TRANSFER <br /> ❑ "YFLAT--BED ^ - VAN � DRUMS <br />' • , SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL`❑OFI=(S}'F ❑ r ❑ ❑ <br /> f <br /> 1 <br /> ARD INC. LANDFILL CUBIC YAR <br /> F4RW S <br /> Forward shall have no obligation to accept the waste if weather or other _- N <br /> ,conditions impar 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 STOCtCPI!E OTHEf? <br /> reasonable efforts to promptly notify Disposer of its inability to accept the _ �w'a. __ <br /> waste for any reason If Forward's refusal to accept the waste is based on ❑SOIL`" <br />' weather or other site conditions Forward shall notify the Disposer when site l <br /> • conditions are expected to change such that Forward will be able to accept <br /> the waste <br /> #7Z77 <br /> ❑ SLUDGE <br /> RENARKS ' <br /> ❑ NON-FRIABLE <br /> .,.�_—E— ,- • = -��r r r^z�" ASBESTOS <br /> FAC!_U_ TR17lCKET NUMBER ' ra :• m :,„�:„: ^��,�..:. � <br /> ❑ WOOD <br /> SIGN-TURES AU1 O ZED�AGEI.ET r =� - DATE <br />' ""' / ❑ ASH <br /> ❑ OTHER <br /> fSCHEDULING 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 # 5 7 8 3 2 <br />