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\t/FI N C ORWA40 NON-H*RDOUS WASTE MANIFEST <br />- 0 R P0 R A WASTE A,.'NT AND DISPOSAL FACILITY <br />F <br />JOB ACCEPTANC NO. <br />GENERATOR i REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br />E] GLOVES. E] GOGGLES[-] RESPIRATOR []HARD HAT <br />MAILING ADDRESS FITY-VEK []OTHER <br />I <br />CI SATE. ZIP SPECIAL HANDLING PROCEDURES: TVIS. )2-) i <br />WASTE TYPE:.: <br />REqEIVING, FA.CILITY1, <br />❑ TREATMENT SOIL <br />F1 DISPOSAL SOIL <br />[] CONSTRUCTION SOIL <br />GENERATING FACILITY <br />[3 SLUDGE <br />[:] NON -FRIABLE ASBESTOS <br />[3 WOOD <br />n ASH <br />F] OTHER <br />`ADDR S.S, %f � � � .., . <br />CITY, STAf <br />E, P <br />7- <br />SIGNATURE AUTHORIZED AGENT OR DRIVER DATE <br />* 14- - /� Z I <br />FORWARD JINC. LANDFILL <br />9999 SOUTH AUSTIN ROAD <br />MANTECA, CALIFORNIA 95336 <br />(209) 982-4298 PHONE <br />(209) 982-1009 FAX <br />,'TRUCK NUMBER <br />END IDUMP BOTTOM.DUMPTRANSFER <br />El ❑ <br />ROLL -OF (b LAT­BED_','�-_ VAN_ -DRUMS <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 <br />impairs the safe and effective operation of the Landfill. Forward shall use <br />DISPOSAL ME <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 <br />weather or other site conditions, Forward shall notify the Disposer when site <br />SOIL <br />conditions are expected to'changq such that Forward will be able to accept <br />the waste. <br />❑ SLUDGE <br />—fl -I <br />FACILITY TICKET NUMBERf , <br />Sidil 'A. <br />NA URE 017.,�VTI�19!1!ZED AGENT, DATE <br />NON -FRIABLE <br />ASBESTOS <br />F1 WOOD <br />ASH <br />F1 OTHER <br />): I , ' (TO BE COMPLETED BY FORWARD) <br />OSE( 1310 , I AERATE ISTOCKPILE1 , OTHER <br />SCHEDULING MUST!kBE 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 />MANIFEST # 75355 <br />SALES COPY <br />