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FORWARDx / NON-HAZARDOUS WASTE MANIFEST <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE N0. <br /> GENERATOR - y j - 4�, REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> l W GE [:]GOGGLES ❑RESPIRA70R HARD HAT <br /> MAILING_ADJ*�f L OOD 8LVD EjY- K <br /> [3 OTHER <br /> CITY,STATE,-ZIP "µms - SPECIAL HANDLING PROCEDURES <br /> PHONE _ 310-923-•9876' <br /> CONTACT PERSON T rt T ,• � . <br /> SIGNATURE OF AUTHORIZED AGENT / TITLE DATE <br /> ESTE TYW #* f RECEIVING FACILITY <br /> Q ❑ SLUDGE <br /> Q*TREATMW*SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> 4& DISPdl`,'qAC SOIL ❑ WOOD <br /> I coN^ ION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> I R -- -- <br /> - (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> r ♦V fY 4 fly .I. <br /> NAME �J; Tr, �MT T L r 7, NOTES TRUCK NUMBER <br /> ADDRESS <br /> . . CITY,STATE4j?II?, <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> ❑ ❑ ❑ <br /> E <br /> SIGNATURE OF-`AUTHORIZED AGlrN1 OR DRIVER <br /> l pgTEROLL-OFFS) FLAT-BED VAN DRUMS- <br /> 1 / ❑ ❑ <br /> FORWARD INC. LANDFILL CU31C YARDS �Y , <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 of 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 S= 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 Scl <br /> conditions are expected to change such that Forward will be able to acc <br /> ` the waste ❑ SLUDGE <br /> REMARKS _ <br /> ❑ NON-FRIABLE <br /> GLTY�.' UMBER <br /> ❑ ASBESTOSFACtWOOD <br /> S1 WURI50.FAUTHO <br /> D�4GENT __ 6ATE <br /> !/ ' f 7 ❑ ASH <br /> i <br /> �J ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TOA DO P M THE DAY PRIOR TO EXPECTED ARRIVAL e ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDRLL THE DAY BEFORE <br /> TO SCHEDULE CALL (209)982-4298 9293 <br /> SALES COPY MANIFEST # C <br />