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NON-HAZAnOOUS WASTE MANIFEST <br /> FORWARD � WASTE TRE,_,rENT AND DISPOSAL FACILITY <br /> /NC_ JOB ACCEPTANCE NO, 94 - 688 <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> -Pon Shelan (dolly Joe's bait Shop) ❑GLOVES ❑GOGGLES ❑RESPIRATOR HARD HAT <br /> MAILING ADDRESS []TY-VEK E]OTHER <br /> P.U. Cox 2(113 SPECIAL HANDLING PROCEDURES: <br /> CITY,STATE,ZIP <br /> o Ripon, CA X15336 <br /> PHONE <br /> (2rlp)576-7501 <br /> n CONTACT PERSON <br /> Por, .fihe]-irl <br /> SIGNATUF A THOR DAG . T / TITLE DATE <br /> �7 <br /> WASTE f YPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • ❑ DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> • ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> s <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> Jnl l.y 10y`S ilnit ._hop (209) 982- 1009 FAX <br /> 101 41. Charter '+la,y <br /> ..�tuckt.On, CA 11520h <br /> NAME - NOTES: TRUCK NUMBER <br /> J33j rThoErpe Oil, Inc. 2 & 2C <br /> • CITY, iATE� <br /> �jp3ecknlau Hd. <br /> PHONEIU <br /> LLBi, CA 95240 END DUMP BOTTOM DUMP TRANSFER <br /> ((����, 8-(,1. r ❑ E]SIGNATURM AU fH��I�ED AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> El El El <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste if weather or other I� <br /> conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL METHOD: (TO BE COMPLETED 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 theDISPOSE BIO AERATE STOCKPILE OTHER <br /> waste for any reason. If Forward's refusal to accept the waste is based on <br /> weather or other site conditions,Forward she%notify the Disposer when site L.. <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste. ❑ SLUDGE <br /> ` REMARKS <br /> ❑ NON-FRIABLE <br /> ASBESTOS <br /> FACILITY TICKET NUMBER <br /> ❑ WOOD <br /> SIGNATU E OF AUTHORNNNNN ZE0 AGENT DATE <br /> e <br /> ❑ ASH <br /> - / <br /> ��. " ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> RJECT 70 REFUSAL SCHEDULE CALL UPON09) ARRIVAL. <br /> 8 ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> MANIFEST # 15232 <br /> GENERAron COPY <br />