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FORWARAI NON-HAZODOUS WASTE MANIFEST <br /> I N C O R P O R A T E D WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. ' <br /> ENERATOFi <br /> REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> StoddIM Petroleum CoMpanyr _ _ _ _ GLOVES ❑GOGGLES ❑RESPIRATOR HARD HAT <br /> MAILING ADDRESS+ TY-VEK ❑OTHER { <br /> 1905NwylhfvC <br /> C17Y,STATE, ZIP SPECIAL HANDLING PROCEDURES <br /> • � — — <br /> • <br /> PNECA95206 <br /> _ — <br /> 0Q�2-8707 <br /> OIVTAC7 PERSON <br /> SIGNAM_F AUTHORIZED AGENT ! TITLE DATE <br /> —fq// <br /> WEE YPE'_ — RECEIVING FACILITY <br /> SLUDGE <br /> • ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> s <br /> DISPOSAL 501E ❑ WOOD i <br /> CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> El STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING.FACILITY (209) 982-4298 PHONE <br /> - - <br /> 3304 West Lame,awdaoo.CA (2 0 9) 982- 1009 FAX <br /> s <br /> E' ry� E i <br /> TRACTOR LIC .!E y TRUCK NUMBER <br /> ADIESS _' TRAILER LIC # <br /> • I;,ITY,STALE, ZIP _ TRAILER LIC # <br /> END DUMP BOTTOM DUMP TRANSFER <br /> SIGNATURE OF ORIZE AGENT OR DRIVER � DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> 'FORWARD`'INC. LANDFILL <br /> Forward shall have 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 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 AERATE STOCKPILE OTHER <br /> waste for any reason If Forwards refusal to accept the waste is based on - - -- - - t <br /> weather or other site conditions, Forward shall notify the Disposer when site SOIL I <br /> • conditions are expected to change such that Forward will be able to accept <br /> the waste_ ❑ SLUDGE <br /> • - _ _ __ __ _ _ ❑ NON-FRIABLE <br /> ASBESTOS <br /> FACICJ FY TICKET NOMBE " <br /> WOOD <br /> 'SIGNAXURE OF AUTHORIZED NT DATA <br /> _ ASH <br /> Lc ``� � ,2 7 _7G OTHER <br /> SCHEDULING MUST BE MADE PRIO TO 4,CrO 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(C9511NH)6 96 MANIFEST # C <br /> r 1 <br />