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FORWARA �� ,h ' NON-HAZANOUS, WASTE MANIFEST <br /> INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY <br /> r,4 �-�: JOB ACCEPTANCE N0. [:74:4:91:1 , <br /> FcGENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> n�i.�n rhi GLOVES ❑GOGGLES ❑RESPIRATOR (,HARD HAT <br /> AILING ADDRESS ❑TY-VEK ❑OTHER <br /> o <br /> CITY,STATE, ZIP SPECIAL HANDLING PROCEDURES: <br /> ' . 5�xyt:Ss s <br /> PHONE <br /> ' CONTACT PERSON <br /> I•',.Ei�nYl <br /> SIGNATURE OFTaAUTHOR1ZEp AU NT//L7rILE DATE <br /> ' WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ' ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> El DISPOSAL SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ASH <br /> ' ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> NAME TRACTORI # TRUCK NUMBER <br /> 76� L_ l / <br /> ADDRESS TRAI�R��LIC. # <br /> • CITY,STATE,ZIP TRAILER LIGE—# <br /> PHONE y END DUMP BOTTOM DUMP TRANSFER <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN s DRUMS <br /> 14 . <br /> FORWARD INC. LANDFILL CUBIC YARDS <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 <br /> reasonable efforts to promptly notify Disposer of its inability to accept the DISPOSE 1110 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 <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste. ❑ SLUDGE <br /> REMARKS <br /> ' ❑ NON-FRIABLE <br /> FACILITY TICKET NUMBER _ ASBESTOS <br /> f` . . ❑ WOOD <br /> SIGNATURE-OF�AUTHORIZED AGENT DATE <br /> f ❑ ASH <br /> *' ,: i� ti �U ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> fUBJECT TO REFUSAL UPON ARRIVAL.ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> 0 SCHEDULE CALL (209) 982-4298 <br /> c5(C9511NH)6.96 SALES COPY MANIFEST # C U2 <br />