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FORWARO NON-HA DOUS WASTE MANIFEST <br /> ` I N C O R P O R A T E D WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO, 649 <br /> GI=NEF�,ATOFt _ REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> NGLOVES ❑GOGGLES ❑RESPIRATOR HARD HAT <br /> ,MAILING,ADDflESS__" TY-VEK [:]OTHER <br /> 1903_NDrkft v ^ �_ _ y __ - ��_ __ _ _ _ _ - . - SPECIAL HANDLING PROCEDURES <br /> CITY,STA?,ZIP <br /> • PH31kiddM CA93206- <br /> ONTAC PE7F3 N _ - - —-- -- <br /> J�,l�y Mcam*_ _. <br /> SIGNATUREO AQfH_O_RI2EI7 AGENT I-TITLE DATE <br /> `W ' RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATM8NT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • DISPOSAL 501E ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> CONSTRUCTION SOIL <br /> ASH <br /> ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING PACILITY— r _ - - -_-- -_ - (209) 982-4298 PHONE <br /> 3300Weff`Lane, <br /> 5 C& (209) 982- 1009 FAX <br /> AME" ,- <br /> _ TRACTOR LIC # _ TRUCK NUMBER <br /> _ TRAILER LIC # 3 <br /> z _ - _J�t E Jim r�rl/� e?` <br /> • CITY,STATI=,ZIP_ ^ -- -- TRAILER LIC # <br /> END DUMP BOTTOM DUMP TRANSFE <br /> 51GNA pE OF AUTHORIZD�AdE_NT OR`pRIVER V DATE r ROLL-OFFS) FLAT BED VAN DRUMS <br /> FORWAI90''I1149. LANDFILL,,� ,- _ _ _ �_ <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 ifAhe waste DISPOSAL`METHOD (TO BE COMPLETES 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 _ _ _ _ rSEj BIOAERATE ISTOCKRIE1OTHER <br /> waste for any reason If Forward's refusal to accept the waste is based on OIL w <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 /> • —. _.._ <br /> FIEMA[�ICS__ t <br /> NON-FRIABLE <br /> w _ r __ _ ____�_____ _ _ ❑ ASBESTOS <br /> FACILITYTICKET NUMBER <br /> _ _ _ _ _ ❑ WOOD <br /> SIGNATU OF AUTHORIZ D A _ - -- �- DATE <br /> / - / _-- -_- GENT_ _ - ❑ ASH <br /> v" G i ` �~ ` ,f ❑ 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 GENERATOR CgPY <br /> FO (C951 INH)6-BS MANIFEST # C 624681 <br />