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' NON-HAZARDOUS WASTE MANIFEST <br /> FORWARDWASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. CMM - 0967 <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> Frederack Mayers [-]GLOVES []GOGGLES []RESPIRATOR ❑HARD HAT <br /> ' MAILING ADDRESS ❑TY-VEK ❑OTHER <br /> 833 Robin Lane SPECIAL HANDLING PROCEDURES <br /> ' CITY,STATE ZIP <br /> Lodi , CA 95240 <br /> PHONE <br /> ( 209 ) 368--6495 <br /> CONTACT PERSON <br /> Frederick Mayers <br /> SIGNATRIE OFTkIIZED AGS/_TITLE DATE <br /> * �l " /f (/ 7-I3-94 <br /> WASTE TYPE /f RECEIVING FACILITY <br /> ❑ 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 /> GENERATING FACILITY (209) 982-4298 PHONE <br /> 209 26 South Ma3_n Street , Lod.3_ , CA <br /> 982- 1009 FAX <br /> 3, <br /> NAME NOTES TRUCK NUMBER <br /> ,-)b F•.%ans 'True ka_ng <br /> ' ADDRESS <br /> 21030 South Manteca Road <br /> • CITY,STATE, ZIP <br /> ;date(-a , C.A 933-36 <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> 209 ) z39-3407 0 ❑ <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS l <br /> r� ❑ ❑ ❑ ❑ <br /> , <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> ' 18 <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) I <br /> impairs 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 ISTOCKPILE OTHER <br /> waste for any reason If Forwards refusal to accept the waste is based on iv-5 SOIL <br /> weather or other site conditions Forward shall notify the Disposer when site CCCJJJ <br /> conditions are expected to change such that Forward will be able to accept I <br /> the waste ❑ SLUDGE e <br /> IREMARKS NON-FRIABLE f <br /> ❑ ASBESTOS <br /> FACILITY TICKET NUMBER <br /> ' ❑ WOOD <br /> SIGNATURE OF AUTHORIZED AGENT fry DATE <br /> ❑ ASH <br /> ❑ OTHER <br /> i <br /> SCHEDULING MUST BE MADE PRIOR T0/'4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL UPON ARRIVAL QNGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> ' TO SCHEDULE CALL (209) 982-4298 MANIFEST # 27925 <br /> SALES COPY <br />