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= x NON-HAZARDOUS WASTE MANIFEST <br /> WARD WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. CMM --- 0967 <br /> GENERATOR- REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> Freder ck Layers ❑GLOVES ❑GOGGLES []RESPIRATOR ❑HARD HAT <br /> MAILING ADDRESS ❑TY-VEK [-]OTHER <br /> 1833 Robin Lame <br /> CITY,STATE, ZIP SPECIAL HANDLING PROCEDURES <br /> ' Lodi , CA 95240 <br /> PHONE <br /> ( 209 ) 368-64 95 <br /> ' CONTACT PERSON <br /> Fre©e.Lzck Mayers <br /> SfGNAE OF`AU�THORI AGE tTLE DATE <br /> 7-13-94 <br /> WASTE TYPE u f .' -- RECEIVING FACILITY <br /> ' ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> ' Q DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 1 <br /> • ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> a <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> X26 South thin Street_ , Ludl , CA (209) 982- 1009 FAX <br /> NAME NOTES TRUCK NUMBER <br /> i' rN U tJ E .a't`'S . .'9„t G ti i t't G� <br /> ' ADDRESS <br /> -q 7 <br /> "JvIJ tole-ft 3 " (3t3�CC?w 1\lif�LA <br /> • CITY,STATE, ZIP <br />' En,t^U , Cis 9336 <br /> PHONE E 9-jDj MP BOTTOM DUMP TRANSFER <br /> ( 20-? ) E39--340 �.x�� ❑ <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> 7-13-94 <br />' FORWARD INC. LANDFILL CUBIC YARDS <br /> kJ Forward shall have no obligation to accept the waste if weather or other <br /> conditiori5 impair the safe Lind effective cfispo5df of the waste or if the waste DISPOSAL METHOD (TO BE COMPLETED BY FORWARD) <br />' Empairs 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 Forwards refusal to accept the waste is based on _ <br /> weather or other site conditions Forward shall notify the Disposer when site— - <br /> cond�l ons are expected to change such that Forward will be able to accept- <br /> the waste r] SLUDGE <br /> REMARKS <br /> NON-FRIABLE <br /> ❑ ASBESTOS <br />' FACILITY TICKET NUMBER ` <br /> ❑ WOOD <br /> SIGNATURE OF AUTHORIZED AGENT DATE <br /> t1i ❑ ASIS <br /> " r i r Id r-1OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 400 PM 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 <br /> �DAY BEFORE <br />' TO SCHEDULE CALL (209) 982-3298 MANIFEST # d CJ <br /> SALES COPY <br />