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FORWARDNON-HAZARDOUS WASTE MANIFEST <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> INC. 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 Ronin Lane <br /> CITY,STATE, ZIP SPECIAL HANDLING PROCEDURES <br /> Lodi, CA 95240 <br /> PHONE <br /> ( 209 ) 368-6495 <br /> CONTACT PERSON <br /> Frederick Mayer: _ <br /> SIGNATURE OFTHORIZ�NT / TITLE DATE <br /> 7-13-1194 <br /> WASTE TYPE , a RECEIVING FACILITY <br /> ' ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> ❑ DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASN <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> 26 ucut3t Main Street , Lcd, , GA (209) 982- 1009 FAX <br /> ELI <br /> R, <br /> y <br /> NAME NOTES TRUCK NUMBER <br /> Enc Evans J'-CU X,' 33Q <br /> ' ADDRESS <br /> 21010 Sc"'t" A.antec.0 (toad <br /> • CITY,STATE, ZIP <br /> C,, 95336 , <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> '( 209 ) 23y 340; / `© ❑ <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER' DATE 1 (� ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> -ryI -13'94 ❑ ❑ ❑ ❑ <br /> f! <br /> V <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste if weather or other 18 1 <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 /> reasonable efforts to promptly notify Disposer of its inability to accept the DISPOSE BIO VERASTOCKPILE 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 I� ' <br /> conditions are expected to change such that Forward will be able to accepter 1 <br /> the waste ❑ SLUDGE <br /> ' REMARKS ❑ NON FRIABLE I <br /> ' ASBESTOS <br /> FACILITY TICKET NUMBER <br /> ' ❑ WOOD <br /> SIGNATURE OF AUTHORIZED AGENT j ; DATE i <br /> _ ❑ ASH <br /> r 1 -F l i1 E❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL o ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL' TH^E�DDA�Y�BEEFORE TO SCHEDULE CALL(209) 982-4298 MANIFEST # 2 f 9 G O <br /> t <br /> SALES COPY <br />