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a�G FORWARV NON-HA DOUS WASTE MANIFES <br /> �++�► I N C O R I ORATED WASTE TR�Cf MENT AND DISPOSAL FACILITY <br /> , <br /> JOB ACCEPTANCE N0. FT y <br /> GENI'RATOR , REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> _ __ _ ❑GLOVES ❑GOGGLES ❑RESPIRATOR El HARD HAT <br /> MAILItICa ADDRESS ❑TY-VEK ❑OTHER <br /> ��� it?�tj _ •� _ ____ _ - <br /> CITY,STATE,Z1P- SPECIAL HANDLING PROCEDURES <br /> - #?HONE r - <br /> CON,,TAGT PERS0N <br /> SIGNATURE O-AUTHORIi ©AGENT/ TITLE DATE rr <br /> • WAST - PES O,� r T -^ - RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • DISPOSAL SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ASH <br /> ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982•-4298 PHONE <br /> (209) 982-- 1009 FAX <br /> NAME TRACTOR LIC # TRUCK NUMBER <br /> AD DRESS -_ TRAILER LIC # PJ CJ <br /> . CIT Y;,ST�TE,ZIP _ _ TRAILER LIC # <br /> • <br /> PHbN'E— <br /> ENDDUMP BOTTOM DUMP TRANSFER <br /> SIGNATU�t �AUTr ZED1-AG T ORtIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> /�-18"-97' ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste if weather or other [J <br /> conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL METHOD (TD�BE COMPLETED BY FORWARD)' <br /> impairs the safe and effective operation of the Landfill Forward shall use y <br /> reasonable efforts to promptly notify Disposer of Its inability to accept the D BIQ AtRArEj6&KPILE OTHER <br /> waste for any reason If Forward's refusal to accept the waste is based on J <br /> weather or other site conditions,Forward shall notify the Disposer when site ❑ S <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste ❑ SLUDGE <br /> ❑ NON-FRIABLE a fa <br /> FAOILIT{YYT GKET NUMBER-"� _ -''a ""'" ASBESTOS <br /> ❑ WOOD <br /> - SIGNATURE OF_AUTHORIZ_E AGINT— _ DATE �T - <br /> � ❑ ASH <br /> ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4 00 M. THE DAY PRIOR TO EXPECTED ARRIVAL s ANY UNSCHEDULED LOADS ARE <br /> -SUBJECT TO REFUSAL UPON ARRIVAL O GOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> TO SCHEDULE CALL(209)982-4298 GENERATOR COPY MANIFEST # C 624683, <br /> FO1(SCHNHI8-99 <br /> } <br /> n - <br />