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FORWAR4 NON-HAZ�OUS WASTE MANIFEST <br /> 1 N C 0 R P O R A T E D WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. ° r <br /> ENf*RATOR r f REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> tadctAn Fete o>Eerim G _ _ 7 <br /> M+ IUgd,ADDR4SS a' Yi _-- -�--� - '-` -''"` "' STY-OVEK ❑GOGGLES ❑RESPIRATOR HARD HAT <br /> 1905 Nagy I)rtve__ ❑OTHER <br /> CITY,,sTAT ,ZIP , - - - - - SPECIAL HANDLING PROCEDURES <br /> • CA.9S206__ _ __ <br /> PHONE_'_ - ---- 1 <br /> • 04�b�-870 - _ .-__ <br /> xmom„ - - <br /> t <br /> SIGNATURE AUTHORIrZ�ED_AGENT/ TITLE DATE <br /> WASTE TYPE RECEIVING FACILITY <br /> El SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • DISPOSAL SOIL ❑ WOOD <br /> CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> El STOCK PILE ❑ OTHER f <br /> MANTECA, CALIFORNIA 95336 ! <br /> GENERATING FACILITY Le <br /> Wed (209) 982-4298 PHONE3300st >rre,Stoch>tiM CA <br /> (209) 982- 1009 FAX l <br /> 3 <br /> TRIR 111ACTOR LIC # _ <br /> ret _ TRUCK NUMBER <br /> Xl:REQ_T' C�D!y 75S <br /> TRAILER LIC # <br /> • CITY, STAzt"�,ZIP _i 14 I- _ L _ _T4.fG[1% _�,�' 1 �i v 3 fs�G _ 3 <br /> TRAILER LIC # t <br /> PHONEt.�^ <br /> END DUMP BOTTOM DUMP TRANSFER ' <br /> SIQAJA►TURE OF AUTHORIZED AGr NT OR DRIVER_ DATE_ ROLL-00(S) FLAT-BED VAN DRUMS <br /> ` �'f 7'�7 ❑ ❑ ❑ ❑ <br /> l <br /> t V F4RWAD INC. LANDFILL cuelc, ARDS I <br /> 1! <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 wastel <br /> impairs the safe and effective operation of the Landfill Forward shall use DISPOSAL METHO OBE COMPLETED BY FORWARDS <br /> reasonable efforts to promptly notify Disposer of its inability to accept the DIE BIO AERATI= STOCKPILE OTHER i <br /> waste for any reason If Forwards refusal to accept the waste is based on - <br /> weather or other site conditions,Forward shall notify the Disposer when site IL <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste <br /> • REMARKS �- --.-.,.--.r. ..._ ._.,___---- <br /> [] SLUDGE <br /> NON-FRIABLE <br /> ILITY T1CKI=T NUMBER —�' - _r _ ASBESTOS <br /> r <br /> ❑ WOOD l <br /> °SIGNA:U a OF_ AUTI ORf E©AGE <br /> 1 ❑ ASH IS <br /> ' L 21'7 <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 <br /> F01(G9511NH�8-58 <br /> TO SCHEDULE CALL(209)882-4298 GENERATOR COPY <br /> MANIFEST # C624666 <br /> + <br />