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f1 <br /> 1 .* , F0kWARD <br /> NON-HAZARDOUS WASTE MANIFEST <br /> J NCORPO RA TED WASTE TREATMENT AND DISPOSAL FACILITY <br /> � <br /> JOB ACCEPTANCE NO. 1 <br /> ENE UIREERSONAL`, ROTECTIVEEQUfPMENT <br /> [LOVES 0 GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> I N ADD E ❑TY-VEK ❑OTHER <br /> f ` SPECIAL HANDLING PROCEDURES <br /> X13 STA P <br /> _022=' - �Y— '''T � / <br /> �1) r y <br /> - NON r� ,.:,� ` "�=�.�'�.°'-e� x .�•s� ' <br /> 0 — cI 3 <br /> `CONTACT PERSON <br /> ik� t . <br /> SIG _IRF.O Af,�THORIZED`A�£NT <br /> WASTf RECEIVINGgFACILITY�_ r = v <br /> Sr�ia.4Ai t s v4-RL <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • �ISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ OTHER <br /> MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> AME � ra 1 �rta;=l-=tom' NOTES TRUCK NUMBER <br /> 'ADDRESS <br /> . CITY,STATE,ZIP %s.`{ti r (} . /r r z,- <br /> PHONE_ END DUMP BOTTOM DUMP TRANSFER <br /> © ❑ ❑ <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL CUBICD <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 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 STOCKPILE OTHER <br /> reasonable efforts to promptly notify Disposer of its inability to accept the <br /> waste for any reason If Forwards refusal to accept the waste is based on J� - <br /> weather or other site conditions, Forward shall notify the Disposer when site ❑SOS <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste _ _ [] SLUDGE <br /> REMARKS ` : <br /> NON-FRIABLE <br /> FACIlJTY TICKET~ /_S . ;_= .^ „�, '..n��� .� ❑ ASBESTOS <br /> _ - ER ❑ WOOD <br /> ❑ ASH <br /> OTHER <br /> CHEDUUNG 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 /> TO SCHEDULE CALL (209) 982-4298 MANIFEST # 57833 <br />