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NON-HAZARDOUS WASTE MANIFEST <br /> FORWARDWASTE TREATMENT AND DISPOSAL FACILITY <br /> INEF JOB ACCEPTANCE- ',IO. <br /> GENERATOR REWIRED PERSAL PROTECTIVE EQUIPMENT <br /> r, �4U � /� rJ C/ CoAp GLOVES Q OGGLES ❑RESPIRATOR EfHARD HAT <br /> MAILING ADDRESS ` ❑TY-VEK ❑OTHER <br /> EDURESL <br /> • <br /> CITY, STATE, ZIP <br /> PHONE Q <br /> CONTACT PERSON J <br /> SIGNATURE OF AUTHORIZED AGENT / TITLE DATE <br /> C44 <br /> WAVE TYPE RECEIVING FACILITY ` <br /> ❑ SLUDGE FORWARD INC LANDFILL <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS <br /> ❑ DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> 2- THER MANTECA, CALIFORNIA 95336 <br /> • GENERATING FACILITY (209) 982-4298 PHONE <br /> €?/l'D /pa-1 (209) 982- 1009 FAX <br /> NOTES ES TRUCK UMBER:s <br /> �'1/J/� rrl/ R 0,,)M fir✓ s�'{c% 1.N )7S <br /> y <br /> ADDS ss �0 �o x �7 _ <br /> • CFTY, STATE,ZIP ( / /";L �� G 1 7 -- <br /> /d �b _ - _ _ <br /> • PHONE �� — �+�/� T.g*� I END DUMP BOTTOM DUMP_ `,TRANSFER <br /> El <br /> SIGNATU F AUTHORIZED AGENT DR DRIVE—R DATE �_.�,�_ »ROLL-0>=F(S) _ FLAT-BE�- ;..V� 4ybRUVS- <br /> , , <br /> FORWARD INC. LANDFILL cuBlc YARDS <br /> e <br /> Forward shall have no obligation to accept the waste if weather or other <br /> conditions impair the sate and effective disposal of the waste or d the waste _DISPOSAL METHOD -°-(TO BE COMPLETED BY_FO- <br /> impairs the safe and effective operation of the Landfill Forward shall use 'DISPOSEBIO AERATE S1104Li -I` <br /> reasonable efforts to promptly notify Disposer of its inability to accept the -L �. _ - <br /> waste for arty reason If Forwards 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 w+li be able to accept <br /> the waste ❑ SLUDGE <br /> ` rt•7"N '•7 •• .Yt tel - YEen•P70 <br /> REMARKS ',: :h.. L;�y �~r-� "��`: io..��i z NON-FRIABLE <br /> ASBESTOS <br /> FACILITY TIIP<E r NUTAER :>.i {� Air- -`--' ❑ <br /> WOOD <br /> 143Ni4 E Off' ORIZED E1 _ay.t:t <br /> ❑ ASH <br /> �I�' �� ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR � 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL UPON ARRIVALS ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> TO SCHEDULE CALL (209) 982-4298 MANII"FCT A* d 7 R 7 q <br />