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' NON-HAZARDOUS WASTE MANIFEST <br /> 1 / ,WARD WASTE TREATMENT AND DISPOSAL FACILITY <br /> IA . JOB ACCEPTANCE NO. CMM — 0967 <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> Frederick Mayers ❑GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> MAILING ADDRESS ❑TY-VEK ❑OTHER <br /> 1833 Robin ..ane <br /> SPECIAL HANDLING PROCEDURES <br /> ' CITY, STATE, ZIP <br /> Lodi, CA 95240 <br /> PHONE <br /> ( 209 ) 368--6495 <br /> CONTACT PERSON <br /> Frederick Layers <br /> SIGNAT4JRE 9F AU•THgRI 1TLE DATE <br /> 7-13-94 <br /> ` <br /> WASTE TYPE RECEIVING FACILITY <br /> u <br /> ' ❑ SLUDGE t <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • d DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ' ❑ CONSTRUCTION SOIL ❑ ASH <br /> d <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> rye <br /> 126 C,cutn Mziin Street , Lodi. , CA 95240 <br /> ELI <br /> NAME NOTES TRUCK NUMBER <br /> 4 , <br /> 1-' b E"ans 7T Lck rig r <br /> ADDRESS <br /> ' "-1010 ur�ut_l, 11611%cca Rcaa <br /> . CITY, STATE, ZIP <br /> ` ii.a_ ii ecru , C b 95336 j <br /> ' PHONE END DUMP BOTTOM DUMP TRANSFER <br /> ( 09 ) 23�j--34(j7 ® ❑ ® I <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> 1-1 El El El <br /> FORWARD INC. LANDFILL CUBIC YARDS t <br /> Forward shall have no obligation to accept the waste if weather or other 1 <br /> conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL METHOD (TO BE COMPLETED BY FORWARD) <br /> unpairs 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 i OiL <br /> weather or other site conditions Forward shall notify the Disposer when site-- <br /> conditions are expected to change such that f=orward will be able to accept., <br /> the waste [❑ SLUDGE <br /> s REMARKS <br /> NON-FRIABLE <br /> ASBESTOS <br /> FACILITY TICKET NUMBER I <br /> / ❑ WOOD ' <br /> SIGNATURE OF AUTHORIZED AGENT 'DATE € <br /> % i ❑ ASH <br /> �C f� �� -� �� 1 f� - ✓' /f(!I ❑ 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 <br /> "026 <br /> THE <br /> yDAY BEFORE <br /> �� <br /> ' TO SCHEDULE CALL (209) 982-4298 MANIFEST # G. ( 0 G 6 <br /> I <br /> SALES COPY <br />