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- } N0 - ' 1 DOUS WASTE MANIFEST <br /> AD ` r WASTE EATMENT AND DISPOSAL FACILITY <br /> 1NC` JOB ACCEPTANCE NO., l <br /> t <br /> I rM GLOVES ❑GOGGLES ❑RESP€BATOR ❑HARD HAT <br /> TY-VEK ❑OTHER <br /> SPECIAL HANDLING PROCEDURES <br /> 5, • <br /> V r�� <br /> I�l= PH -, <br /> r f{ <br /> r CONTA /r, , <br /> SIGNATURE OF J <br /> WASTE TYPE " <br /> i ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-M ABL-E ASBESTOS FORWARD INC. LANDFILL <br />�' • DISPOSAL SOIL ❑ D ' <br /> ❑ CONSTRUCTION SOIL ❑ ASW9999 SOUTH AUSTIN ROAD, <br /> •� ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4299PHONE <br /> Jo r .r o-� (209) 982-1009 FAX <br /> NAME /J^ _ +� NOBS' <br /> ADDRESS <br /> J '� <br /> • <br /> CITY,STATE,ZIP ®` <br /> PHONE 'r END DUMP _ BUT1t�M D F <br /> 1:1 ❑ Eff <br /> S TUBE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFiS) I.AT-BED 4 <br /> - -- -1 - E] — 13* - ❑ ❑ <br /> AALInA <br /> qA <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste I weather or other <br /> conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL METHOD3E <br /> impairs the safe and effectwe 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 is based on SOIL <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 /> ❑ ASBESTOS <br /> FACILITY TICKET NUMBER N <br /> ❑ WOOD <br /> SIGNAT Ml;OF RIZED AGENT DATE <br /> ❑ ASH <br /> - ❑ 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,1- <br /> TO SCHEDULE CALL(209)982-4298 5 3 0 3 <br /> MANIFEST# <br /> SALES COPY <br />