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1 ' NON-HAZARDOUS WASTE MANIFEST <br /> F ,, WARD WASTE TREATMENT AND DISPOSAL FACILITY <br /> INC_ JOB ACCEPTANCE N0. CMM -- 0967 <br /> GENERATOR- REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> Frederick Mayers ❑GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> MAILING ADDRESS ❑TY-VEK [:]OTHER <br /> 1633 Rubin Lane <br /> CITY,STATE,ZIP SPECIAL HANDLING PROCEDURES <br /> LL,d.L , C:A 95240 <br /> PHONE <br /> ( 2091 368-6495 <br /> CONTACT PERSON 7 <br /> rreaer-ck Mayers +' <br /> SIGNATURE OF A IT'YPB ZEL4'AQENT/ TITLE DATE <br /> 1 *f��— ✓��y4, f'f <br /> 7-13-94 <br /> , I <br /> WAS EJTYPE �/ - �i/ `EIVIIVG FACII ITY _ <br /> ' J <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> p DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ' ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> a <br /> 2P GENERATING FACILITY (209) 982-4298 PHONE <br /> ' lzrl Soutn Mari Street , Loch , cA (209} 982- 1009 FAX <br /> NAME NOTES TRUCK NUMBER <br /> ' 2 ADDRESS <br /> x"014 Sown "-Ienkeca Rc'zl(l <br /> • CITY,STATE,ZIP <br /> fanzeca , CA 95336 <br /> ' PHONE END DUMP BOTTOM DUMP TRANSFER <br /> 2 9) 2 3 9W .4la ! ❑ ❑ ❑ <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> El El 1-1 <br /> j 7- 13-94 <br /> ' FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste if weather or other is <br /> conditions impair the safe and effectove disposal of the waste or if the waste DISPOSAL METHOD (TO BE COMPLETED BY FORWARD) <br /> ' mpairs the safe and effective operation of the Landfill Forward shall use — <br /> reasonaUe efforts to promptly notify Disposer of ;ts inability to accept the DISPOSE BIO AERATE STOCKPILE OTHER <br /> waste for any reason If Forwards refusal to accept the waste is based on <br /> weather or other site conditions Forward shall notify the Disposer when site SOIL <br /> conditions are expected to change such that Forward will be able to accept <br /> ' the waste ❑ SLUDGE i <br /> b REMARKS <br /> ❑ NON FRIABLE <br /> ASBESTOS ' <br /> ' FACILITY TICKET NUMBER <br /> ❑ WOOD <br /> SIGNATURE OF AUTHORIZED AGENT DATE <br /> f <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 MANIFEST # 2 `� G <br /> SALES COPY <br />