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o <br /> WARH%a, NON-HP'ARDOUS WASTE MANIFEST <br /> WASTE *OEATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE N0. <br /> —:756411 <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> California ,Welding Supply [GLOVES [-]GOGGLES []RESPIRATOR HARD HAT <br /> MAILING ADDRESS % 11.1 TY-VEK ❑OTHER <br /> 1000 E 11th. .St.. SPECIAL HANDLING PROCEDURES: <br /> CITY,STATE,ZIP t <br /> • Tracy, -CA <br /> PHONE None <br /> (209)466-8604 <br /> CONTACT PERSON ; <br /> Wm. J Hunter 4 <br /> SI T EED AG / DATE <br /> __ D <br /> '!/8/98 <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • �DISPOSAL SOIL ❑ 9999 SOUTH AUSTIN ROAD <br /> r_1 CONSTRUCTION SOIL ❑ ASH ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY 209) 982-4298 PHONE <br /> Same as above '. (209) 982- 1009 FAX <br /> NAME NOTES: R C NUMBER <br /> Jim Thorpe Oil, . Inc. 2 7 O <br /> ADDRESS � l .._ <br /> P.O. Box 357 <br /> . CITY,STATE,ZIP <br /> _ s <br /> Lodi, CA 95241-0357 <br /> PHONE END DUMP BOTTOM DUMP TRANSFER _. <br /> (209)36-8,-6 75 4 ❑ ❑ <br /> SIGNATU F HORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> El 11 El El <br /> o <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste if weather or other <br /> 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 the DIS OSE 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 shall notify the Disposer when site4JL <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 /> SIGNATU9E F AUTHORIZED(AG/NT DATE <br /> ❑ ASH <br /> ❑ 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 n O p 6 p <br /> MANIFEST # L O J <br /> GENERATOR COPY <br />