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Gr <br />' WARD NON-HA74RDOUS WASTE MANIFEST <br />WASTE Ttyl'1TMENT AND DISPOSAL FACILITY <br />/IVC. 1 <br />JOB ACCEPTANCE N0. 94 - 687 <br />GENERATOR 4. <br />REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br />tt ferson School <br />MAILINGADDRIES <br />❑GLOVES []GOGGLES [:]RESPIRATOR []HARD HAT <br />❑TY-VEK [:]OTHERCITY, <br />STATE, ZIPS Linne Road <br />SPECIAL HANDLING PROCEDURES: <br />CA 95376 <br />PHONE <br />//Tracy, <br />CONTACT PERA&9'')535-3968 <br />SIGNATU ENT/ TITLE DATE <br />,. ontract;or 1/24/04 <br />WAST TYPE <br />RECEIVING FACILITY <br />❑ SLUDGE <br />TREATMENT SOIL <br />❑ NON -FRIABLE ASBESTOS <br />FORWARD INC. LANDFILL <br />• DISPOSAL SOIL <br />❑ CONSTRUCTION SOIL <br />❑ <br />❑ ASH ASH <br />9999 SOUTH AUSTIN ROAD <br />" <br />• <br />❑ OTHER <br />MANTECA, CALIFORNIA 95336 <br />(209) 982-4298 PHONE <br />GENERATING FACILITY <br />.Jefferson School <br />209 982-1009 FAX <br />( ) <br />1900 Linne Road <br />Tracy, CII 95376 <br />N77AME <br />NOTES: TRUCK NUMBER <br />Thorpe Oil, inc. <br />AD�RESS <br />Beckman Rd,CITY, STA <br />, 7 <br />Lodi Ca. 95240 <br />END DUMP BOTTOM DUMP, TRANSFER <br />PHONE <br />P 11 11GTURE <br />S2,pa)36b-617I <br />O AR DRIVER DATE <br />ROLL OFFS) FLAT-BED VAN DRUMS <br />0 El El 0 <br />ZFORWARD INP,.' LANDFILL <br />CUBIC YA S <br />"ard shall have no obligation to accept the waste if weather or other <br />.M 1.2 Ci ifij,r Y <br />conditions impair the safe and effective disposal of the waste or if the waste <br />impairs the safe and effective operation of the Landfill. Forward shall use <br />DISPO AL METHOD: (TO BE COMPLETED BY FORWARD) <br />reasonable efforts to promptly notify Disposer of its inability to accept the <br />DISPOSE 810 STOCKPILE OTHER <br />waste for any reason. 8 Forward's refusal to accept the waste is based on <br />JAERATE <br />QUI---- <br />weather or Whet site conditions, Forward shelf notiy the Disposer when ate� <br />- <br />' conditions are expected to charge such that Forward will be able to accept <br />the waste, <br />❑ SLUDGE <br />• REMARKS <br />NON -FRIABLE <br />❑ <br />FACILITY TICKET NUMBER <br />ASBESTOS <br />❑ WOOD <br />SIGNATURE OF AUTHORIZEb AGENT DATA <br />l/ <br />/ / <br />❑ASH <br />') <br />. ' <br />❑ OTHER <br />TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br />SCHEDULING MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR <br />SUBJECT TO REFUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST <br />BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br />TO SCHEDULE CALL (209) 982-4298 <br />MANIFEST # 15231 <br />GENERATOR <br />COPY <br />