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NON-HAZ�OUS WASTE MANIFEST <br /> FORWARA i <br /> �►b <br /> INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. <br /> ENERATOR - REQUIRED PERSONAL PROTECTIVE EQUIPMENTi <br /> StocktonPetFolgm�Co�ps�tlt_ _ - �- -_ — _ HTY-VEK <br /> GLOVES ❑GOGGLES ❑RESPIRATOR HARD HAT <br /> MAILWGADbRESS ❑OTHER <br /> 1903 NAY-Pn - -- — —` -- - -" SPECIAL HANDLING PROCEDURES I <br /> • CITY,STATS,"ZIR i <br /> • _I�tockGolta.CA,9�aAG_._.__..__ � _ -- _ <br /> �NTAGT e ON—_ -- -- — -- - - - - k <br /> $ N&URS dF_AUTHORIZE PAGENT / TITLE _ DATE <br /> WASE TY E g , RECEIVING FACILITY <br /> - f <br /> SLUDGE <br /> • ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • DISPOSAL SOIL ' ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> CONSTRUCTION SOIL ❑ ASH <br /> ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> + r <br /> ,,APNE_RATING FACILITY -- _ _ _ _ _ (209) 982-4298 PHONE <br /> 3300 WeSt Low,ftxl ccq CA <br /> (209) 982- 1009 FAX <br /> 1 <br /> A E _'; ' _ `__ _ _" ' -- TRACTOR LIC # Cpi q&/_5' 1 TquCK NUMBE f I <br /> A06R TRILER1lC #S ` � � 1y'•r� , <br /> • CI(Y qT& '2 __ _ _ TRAILER LIC # - <br /> PHONF.4 ; u�7.���v.-_. _ _ END DUMP BOTTOM DYMP TRANSFER l <br /> -_ _ <br /> wil I ' <br /> SIGNATURE OhTAUTHC)RffED AGENT OR b IVER DATE _ ROLL'-OFFjS) FLAT-BED VAN DRUMS <br /> i <br /> CUBIC YARDS <br /> FORWARD INC. LANDFILL -- - <br /> Forward shall f ave no obligation to accept the waste if weather or other i <br /> conditions impair the safe and effective disposal of the waste or If the wasteC�ISPOSAL METHOD O 13E COMPLETE BY FORWARD) <br /> impairs the safe and effective operation of the Landfill Forward shall use , l <br /> reasonable efforts to promptly notify Disposer of its inability to accept the a DISPOSE BIO AERATE STOCKPILE OTHER <br /> waste for any reason 1f Forwards refusal to accept the waste is based on <br /> weather or other site conditions, Forward shall notify the Disposer when site <br /> • conditions are expected to change such that Forward will be a4le to accept <br /> the waste ❑ SLUDGE <br /> • - - NON-FRIABLE i <br /> )AGILITY TICKET NUMBER^ --- ----� ---- ❑ ASBESTOS r <br /> ❑ WOOD ' <br /> TURPIOF AUTHORIZED AGENT DATE <br /> ❑ ASH <br /> �' c=- C C'•c' '�- �� ❑ 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 THE DAY BEFORE <br /> TO SCHEDULE CALL(209)982-4298 GENERATOR COPY <br /> F01(COS 11NH)6 06 MANIFEST # C 624670 <br />