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' . NON-HAZARDOUS WASTE MANIFEST <br /> F-9v",.",; RWARD WASTE TREATMENT AND DISPOSAL FACILITY <br /> - INC. JOB ACCEPTANCE NO. CMM -- 0967 <br /> GENERATOF:F__ REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> Frederick Mayers ❑GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> MAILING ADDRESS ❑TY-VEK [:]OTHER <br /> 1833 Robj_n bane <br /> SPECIAL HANDLING PROCEDURES <br /> CITY, STATE, ZIP <br /> Lodi, CA 95240 <br /> PHONE <br /> ( 209 ) 368-6495 <br /> ' CONTACT PERSON <br /> Frederick Mayers <br /> SIGNATORE OFF,AUTH RIZED AGENT /,TITLE DATE <br /> 7rC `' I ✓� ( 7-I3-94 <br /> l <br /> • WASTE TYPE " s" RECEIVING FACILITY <br /> 1 ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • 0 DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ' ❑ CONSTRUCTION SOIL ❑ ASH <br /> .. ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> 0 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> ' Z{ S�.u� - �aanStree = , Lodi , CA (209) 982 - 1009 FAX <br /> NAME NOTES TRUCK NUMBER <br /> Nc�li E-vans <br /> ADDRESS � J(//D <br /> ' r L LO 1 0 C L'mil Nisi �t c K�r3d <br /> CITY, STATE, ZIP <br /> • !giant eca , CA <br /> ' PHONEEMP BOTTOM DUMP TRANSFER <br /> ( 209 1 233-:�4u T ❑ <br /> El <br /> SIGNATURE OF AUTHORIZED 4GEINT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> - q L1 El El El 7--1 --94 <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 DISPOSE BIO AERATE�STOCKRLE� OTHER J <br /> reasonable efforts to promptly notify Disposer of its inabdity to accept the <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 75-0��----- -- - <br /> conditions are expected to change such that Forward will be able to accept I <br /> the waste ❑ SLUDGE <br /> ' 4 REMARKS <br /> NON-FRIABLE <br /> ❑ ASBESTOS <br /> FACILITY TICKET NUMBER <br /> ' ❑ WOOD I <br /> i <br /> SIGNATURE OF/AUTHORIZED AGENT f DATE <br /> ❑ ASH I <br /> r <br /> �' �� 1 r ❑ 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' THEDAYBEFORE <br /> TO SCHEDULE CALL (209) 982-4298 MANIFEST # 2 ! 9� 1 <br /> SAES COPY E � <br />