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'- :FORWARD NON-HAZARDOUS WASTE MANIFEST <br /> I WASTE TREATMENT AND DISPOSAL FACILITY <br /> NCORPORATED , <br />' - JOB ACCEPTANCE NO. <br /> -CKI=A REQLIIRED_PERSONALPROTECTNE E(?UlP'MENT,�" %�- �t <br /> ` ;tF C 1 � � GLOVES ❑GOGGLES C3 RESPIRATOR ❑HARD HAT <br />' 4- <br /> G D Ems--_�`=` r - ❑TY VEK ❑OTHER <br /> I <br /> Wit� .f'ls.� t- �T=� <br /> SPECIAL HANDLING PROCEDURES <br /> P. <br /> ,SON ,ACNP RSD � , .��`���'•" "°-�;"���:�,�:-'T-c�r � <br /> SIGNATLf EOF A0 Q 17�Q AGEIV3 <br /> - - _- <br /> RECEIVING FACILITY <br /> i <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> 0-DISPOSAL SOIL ❑ WOOD <br /> 9999 SOUTH AUSTIN ROAD <br /> SOIL ❑ ASH <br /> ' ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> ' -, ;�,"/q, G,y�� rte=' � ��, ) (209) 982- 1009 FAX <br /> uAME �j�,Q/-y 37,ti► ,r�; NOTES J TRUCK NUMBER <br /> rr' � S = i1J J <br /> ADDRESS <br /> •CITY,STATE,ZIP ��ItJ rc* ri f 7 c. <br /> RHONE U] v END,DAMP BOTTOM DUMP TRANSFER , <br /> El ❑ ❑ <br /> SIGNATURE OF AUI i IORIZED AGENT OR DRIVER DATE ROLL-OFf(S) 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 sate and effective disposal of the waste or if She 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 Forwards refusal to accept the waste is based on <br /> weather or other site conditions Forward shall notify the Disposer when site ❑ 501E <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste _ ❑ SLUDGE <br /> REMARKS <br /> �' - NON-FRIABLE <br /> • FACI'LJ TY 71C}C 'NUMBER _-� "'� `� �'� `,R "` �'y F ❑ ASBESTOS 1 <br /> ❑ WOOD <br /> IVATUo, OF AUTH ZED�M GENT-_ z , D TE m "` <br /> J� ❑ ASH <br /> 7�C f / �' �' r�� /� / ❑ OTHER <br /> CHEDULING MUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> OBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE, <br /> SCHEDULE CALL (209) 982-4298 MANIFEST # 57817 <br />