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� FORWAR16 NON—HAZOUS WASTE MANIFEST <br /> �+ <br /> INCORPORATED WASTE TR ENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. } 7. <br /> i <br /> VENERATOR _ REQUIRED PERSONAL.PROTECTIVE EQUIPMENT <br /> _l4octctotgPe#rplewgn Compenpt_ __ _ _ ______ _ _ GLOVES [:]GOGGLES [:IRESPIRATOR HARD HAT f <br /> MAILING RDbRI=SS TY-VEK ❑OTHER <br /> CITYTY,,SSTATET � — SPECIAL HANDLING PROCEDURES <br /> , ZIP .._ --- .... _ � <br /> CON ACT PERSON <br /> SIGNATURE OF AUTHORIZED AGENT/ TITLE _ DATEr <br /> i <br /> wASTE,VYP RECEIVING FACILITY <br /> SLUDGEI <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> w DISPOSAL ❑ 9999 SOUTH AUSTIN ROAD <br /> CONSTRUCTION <br /> ASH N SOIL ❑ ASI-I # <br /> ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> 3900wI�cr�S�CA (209) 982- 1009 FAX <br /> f <br /> AME TRACTOR LIC # �7r� J,� TRUCK NUMBER <br /> TRAILER LIC # / v ] f 4'/ 7 ` I <br /> . GrrY ST TE ZIP <br /> _x_ .z_ TRAILER LIC # <br /> PHONi; END DUMP BOTTOM DUMP TRANSFER <br /> " IG ATURE I+AUTHOFlIZED AGENT OR DRIVER DATEROLL-OFFS) FLAT-BED VAN DRUMS <br /> CU81C YARD5 � <br /> , FORdV RD IIIC. LANDFILL --�— --- — - <br /> + rt <br /> Forward shall have no obligation to accept the Waste if weather or other <br /> �condtions impair the safe and effective disposal o&the waste or if the waste DISPOSAL METHOD (TO BE M LE ED BY FORWARD) <br /> Impairs the safe and'effective operation of the Lendfdl Forward shall use s K <br /> reasonable efforts to promptly notify Disposer of its inability to accept the SP ; BUJ STOCKPILE OTHER <br /> waste for any reason If Forwards refusal to accept the waste is based on T �— <br /> weather or other site conditions,Forward shall notify the Disposer when site OIL fy <br /> condittws are expected to change such that Forward will be able to acceptthwI <br /> * uTraste ❑ SLUDGE <br /> ` REMARKS <br /> ❑ NON-FRIABLE i <br /> -• �____.. ASBESTOS (� <br /> FAC�ILlTY TICKET Nth <br /> WOOD <br /> SIIRTURE' F AU <br /> _ ❑ ASH (� I <br /> ❑ OTHER <br /> SCHEDULING MUST BE MADE P IOR TO 4. M THE DAY PRIOR TO EXPECTED ARRIVAL a ANY UNSCHEDULED LOADS ARE I <br /> SUBJECT TO REFUSAL UPON AF( VAL ONG OINd DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> TO ISCSHEDU98E CALL(209)982-4 GENERATOR COPY ^ <br /> MANIFEST # C C l <br /> r <br />