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0- <br /> ' FORAV*� NON-HAZAOUS WASTE MANIFEST <br /> .'I N C O R P O R ATE D WASTE TREA NT AND DISPOSAL FACILITY <br /> ..JOB ACCEPTANCE NO. 744911 <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> ob <br /> � ,�an� � ®GLOVES [3 GOGGLES [3 RESPIRATOR HARD HAT <br /> MAILING ADDRESS [:]TY-VEK ❑OTHER <br /> 216,0 1' C SPECIAL HANDLING PROCEDURES: <br /> CITY,STATE,ZIP . <br /> ' • S�zth Sm F:zr6_,c,C.A,940,80 <br /> PHONE <br /> � y <br /> ' CONTACT PERSON <br /> SIGNATURE F ORIZED GEfN / ITLE DAT <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ' ' ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • Q DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982--4298 PHONE <br /> :.2.402 YUr-Ni Ey 9.9 (209) 982- 1009 FAX <br /> NAME T TOR LIC. r _ TRUCK NUMBER <br /> ADDRESS TRAILE LfC.# r f L� <br /> // <br /> CITY,STATE,ZIP TRAILER LIC. f <br /> r •Z-,_.�h� <br /> 43414 PHONE END DUMP BOTTOM DUMP TRANSFER <br /> SIGNATURE OFfAUTHORIZ#AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN -, DRUMS <br /> El El <br /> FORWARD INC. LANDFILL cuBlc YARDS <br /> Forward shall have no obligation to accept the waste it weather or other / ? <br /> conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL METHOa (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 Forward's refusal to accept the waste is based on <br /> weather or other site conditions,Forward shall notify the Disposer when site ❑ SOIL <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste. ❑ SLUDGE <br /> REMARKS <br /> NON-FRIABLE <br /> . _ ❑ ASBESTOS <br /> FACILITY TICKET NUMBER <br /> _ ❑ WOOD <br /> -� J ... .- _ .��/ ❑ ASH <br /> t ❑ OTHER <br /> 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 WITH THE LANDFILL THE DAY BEFORE, <br /> TO SCHEDULE CALL (209)982-4298 <br /> F41 IC9511NH)6-" SALES COPY MANIFEST # C, 6 6 02_'0%.*9. <br />