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' �. NON-HAZARDOUS WASTE MANIFEST <br /> 0RWARDWASTE TREATMENT AND DISPOSAL FACILITY <br /> I!` CCMM � 0967 <br /> JOB ACCEPTANCE N0. <br /> GENER,1TOF1 _ REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> Frederick Mayers ❑GLOVES ❑GOGGLES [-]RESPIRATOR E]HARD HAT <br /> MAILING ADDRESS ❑TY-VEK p OTHER <br /> 1833 Robin Dane <br /> SPECIAL HANDLING PROCEDURES <br /> ' CITY, STATE, ZIP <br /> L cider, CA 95240 <br /> PHONE <br /> ( 209 ) 368-6495 <br /> CONTACT PERSON <br /> Frederick k Mayers <br /> 5[GNATtE OF,,A ZED AGENT TITLE DATE7-13-94 <br /> 3' <br /> 1 „ f <br /> WASTE TYPE RECEIVING FACILITY I <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 /> • E <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> { <br /> ' 126 �Outb Ma_ ri Street , I.od- , CA (209) 982- 1009 FAX <br /> f <br /> s <br /> NAME NOTES TRUCK NUMBER <br /> F_ b Evan. 'IrL.L k7 nr _) <br /> ' ADDRESS - <br /> {) 1'a i T Cara ;7(�ad <br /> i <br /> CITY, STATE, ZIP ! <br /> ' :�ntec_ , CA 9-,336 j <br /> PHONE END DUMP BOTTOM DUMP TRANSFER ! <br /> 2'19 ; 2 .U--t0 1 ❑ ❑ Q <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> 7-13--94 <br /> El ❑ El j <br /> � E <br /> CUBIC YARDS <br /> ' FORWARD INC. LANDFILL <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 /> DISPOSE BIO AERATE STOCKPILE OTHER <br /> reasonable efforts to promptly notify Disposer of its inability to accept the f !i <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 sde� �SOIC �— <br /> conditions are expected to change such that Forward will be able to aecef5t i <br /> the waste ❑ SLUDGE I <br /> • REMARKS ❑ NON-FRIABLE <br /> ASBESTOS <br /> FACILITY TICKET NUMBER <br /> ❑ WOOD I <br /> SIGNATURE OF AUTHORIZED AGENT DATE I <br /> 1 ❑ ASH <br /> ❑ OTHER <br /> mi <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 # G <br /> SALES COPY <br />