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NON-H� ARDOUS WASTE MANIFEST <br /> FORWARD'S- WASTE'rtATMENT AND DISPOSAL FACILITY <br /> INC JOB ACCEPTANCE N0. - 756,411 <br /> GENERATOR REQUIRED,PERSONAL PROTECTIVE EQUIPMENT <br /> California Welding Supply []GLOVES ❑GOGGLES E]RESPIRATOR ®HARD HAT <br /> MAILING ADDRESS ❑TY-VEK ❑OTHER <br /> 1000 E. 11th St. <br /> CITY,STATE,ZIP SPECIAL HANDLING PROCEDURES: <br /> Tracy, CA none <br /> PHONE _ <br /> (209)466-8064 <br /> CONTACT PERSON <br /> Wm- .J H nter <br /> SIG AUTHORIZEJD PxaET DATE <br /> 10/8/98 <br /> WA TE rYPE 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 /> GENERATING FACILITY (209) 982-4298 PHONE <br /> Same as above (209) 982- 1009 FAX <br /> NAME NOTES: TRUCK NUMBER <br /> Jim Thorpe Oil , Inc. _ �- <br /> ADDRESS ` �t <br /> P.O. sox 357 <br /> . CITY,STATE,ZIP <br /> • Lodi, CA 95241-0307 t <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> (209)368-6175 Ek ❑ ❑ <br /> SIGNATURE OF THORIZED AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> 10/8/98 <br /> 9 <br /> FORWARD INC. LANDFILL CUBIC YARDS <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 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 the DISPOSE BIO AERATE STOCKPILE OTHER <br /> waste for any reason. If Forward's refusal to accept the waste is based on ❑ SOIL <br /> weather or other site conditions, Forward shall notify the Disposer when site <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 /> SIGNATURE OF Art(THORIZED AGENT DATE <br /> ❑ ASH <br /> i <br /> *' G _ — ❑ 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 /> TO SCHEDULE CALL (209) 982-4298 20867 <br /> MANIFEST # <br /> Y4ERATCR COPY <br />