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( ' <br /> . <br /> t -FORWARD ' - NON-HAZARDOUS�WASTE MANIFEST <br /> INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY <br /> ' JOB ACCEPTANCE N0. ;IKUM <br /> ❑GLOVES []GOGGLES ❑RESP TOR [:]HARD HAT <br /> ❑TY VEK []OTHER <br /> SPECIAL HANDLING PROCEDURES am i1% NNE <br /> 410 7- 5�.3� 5 7 <br /> 1 <br /> SIG N <br /> • � YI}E----r -�=r*±" `= -~�` �` "=� RECI=RM PA��-;7;=77,:7-_ x <br /> I ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> I DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> I- ENERRATING FACILITY -_ - -- - - ---- (209) 982-4298-PHONE-`- <br /> y <br /> 74 (209) 982- 1009 FAX <br /> NAME NOTES NUMBER-r=•= <br /> I ADDRESS <br /> 1 <br /> . CITY,STATE.ZIP <br /> r q5 <br /> PHONE _ _ END DUMP - BOTTOM DU r <br /> SIGNATURE OF AUTHORI ZD AGENT 04 DRIVER DATE ROLA-OFFS) _ FLAT-BED_ _ <br /> ' ❑ .• <br /> 1 f 1 e� <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste d weather or other L� - <br /> I conditions impair the safe and effective disposal of the waste or d the waste - <br /> rrnparrs the safe and effective operation of the landfill Forward shall use <br /> reasonable efforts to promptly notify Disposer of its inability to accept the <br /> waste for any reason If Forward's refusal to accept the waste m tsa9ed on <br /> weather or other site conditions.Forward shelf notify the Disposer when site L <br /> I conditions are expected to change such that Forward weft be able to accept <br /> the ate. ❑SLUDGE <br /> • - __ NON-FRI OLE <br /> _ - - ❑I ASSESMS r] ,MOOD <br /> - - <br /> �., 1 ❑ AS <br /> H <br /> ❑ OTHER <br /> I SCHEDULING 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 WfTH THE LANDFILL THE DAY BEFORE <br /> TO SCHEDULE CALL(209) 982-4298 5611 6 <br /> MANIFEST .� i <br />