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(&' FORWAR NON—HAZ OUS WASTE MANIFEST INCORPORATE WASTE TR <br /> EENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. Lld' <br /> y r r <br /> ENERATOFJ _ REQUIRED PERSONAL PROTECTIVE EQUIPMENT ' <br /> AA_Feb[vleluttlpp+ _ _ GLOVES [:]GOGGLES [-]RESPIRATOR HARD HAT <br /> MAILING ADDRESS TY-VEK <br /> 190S <br /> ITY,$N - --- x- - SPECIAL HANDLING PROCEDURES <br /> TAT <br /> CITYE,ZIP - - <br /> ,Tayy-M _ <br /> 51GNATUR OF AUTHORIZED AGENT / TITLE DATE I <br /> u y <br /> WA _TY � _ RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> DISPOSAL SOIL ❑ 9999 SOUTH AUSTIN ROAD <br /> CONSTRUCTION SOIL ❑ ASH ASH <br /> ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> .GE_ E TINCaFACILITY y <br /> - - _ -.- - _ _ -- _ -_ (209) 982-4298 PHONE <br /> 3sooWest I <br /> S .CA <br /> (209) 982- 1009 FAX <br /> r <br /> TRACTOR LIC # TRUCK NUMBER <br /> TZRAI <br /> _—- TRAILER LIC # -3 <br /> . <br /> PITY, .T I zl �1c f_ _ Tt}.r�N_ % CT' _ __ I '/U 3�7.4 <br /> LE _ _ TRAILER LIC # <br /> _ .. � v�_lA_ 1 /i <br /> PHONE,r_= _ �— END DUMP BOTTOM DUMP TRANSFER <br /> ❑i _ ❑ (fir'_ <br /> IG TURF OF AUTHORlZED'AGENT OR DRIVER' DATE__ - ROEL-OFFS) FLAT BED VAN DRUMS w <br /> El 13 0 <br /> I <br /> i <br /> FORWARD INC. LANDFILL CUI31C 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 FORWAR <br /> impairs the safe and effective operation of the Landfill Forward shall use Q} <br /> reasonable efforts to promptly notify Disposer of its inability to accept the DISPOSE £310 AERATE STOCKPILE OTHER i <br /> waste for any reapon If Forwards refusal to accept the waste is based on J _ - <br /> weather or other site conditions,Forward shall notify the Disposer when site SOIL <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste <br /> REMAF_KSSLUDGE <br /> - _ - — �_—W - --- --- _ -_ ❑ NON-FRIABLE + <br /> FACILlTY1TICKET NUMBER - - -� -- ASBESTOS <br /> - __ .._ � ❑ WOOD <br /> - SIGNC1FEl(JF AUTH©RZ AGENT r DATE_ - <br /> ]J DASH <br /> t '7-� <br /> [I OTHER <br /> SCHEDULING MUST BE MA E P O 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL UPON A IVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> TO SCHEDULE CALL (209)982-4298 GENERATOR COPY <br /> Fol(C6511NH)6 06 MANIFEST # C 624663 <br />