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.. -ORWARD NON-HAZARDOUS WASTE MANIFEST ' <br />' INC OR P,O R=ATE 13= WASTE TREATMENT AND DISPOSAL FACILITY <br /> - J66 ACCEPTANCE NO. <br /> z • <br /> ENE <br />�� ,s _ � � s � :Y � F�.�-� •� CTIVI QUiP E � ' ' ,�, <br /> _ E ` ❑GLOVES []GOGGLES ❑RESPIRATOR :E]HARD HAT <br /> RE - -* - �d-< .: '� []TY-VEK _ ❑OTHER <br /> `640 N. E1 Dorado St-.. <br /> - - ; <br /> SPECIAL HANDLING PROCEDURES L <br /> • Stockton, CA 95202 -� <br /> (209) 83839888 _ <br /> Iv, <br /> Sean Garvey <br />' SIGNA ORfED AGENT/TITLE <br /> Contractor 6/24/03 None <br />' WASTE TYPE <br /> '`❑ SLUDGE <br /> ❑ TREATMENT SOIL w ❑ NON-FRIABLE ASBESTOS - - FORWARD INC.-LANDFILL <br /> • ® DISPOSAL SOIL - <br /> ❑ CONSTRUCTION SOIL ❑ ASH = 9999 SOUTH AUSTIN ROAD <br /> • - ❑ OTHER <br /> MANTECA, CALIFORNIA 96336 <br /> GENERATING FACIUW m - (209) 982-4298 PHONE <br /> '-3640- N. Eldrado '_ V4 , °Stockton, CA r (209) 982- 1009 FAX <br /> E <br /> MEQ NOTES d c, 'TRUCK NUMBER -� <br /> Jim Thor a Oil Inc.` <br /> ' r <br /> AI]DRESS - _ I <br /> r F 5 I <br /> P.O. Box 357 <br /> CITY §RM Zip <br /> Lodi CA- 95241-0357 <br /> 4NE _" ,, a EN�7 HUMP- _ *`3*�',BOTTO[�1 DU P_ TRANSFER,,-. <br /> RANSFER,` <br /> PO <br /> 209 368=�i 5----�•�--�-..__ t - <br /> IG E OF3_ _DRi D"AGENT OR DRIVER` ' DATE `t v L I TOLL® S -SE=D 7, VAN, P pRUM S" I <br /> L <br /> A -FORWARD I1NC:LANDF LL`4����ry� CusicYARD� <br /> Forward shall have no obligation to accept the waste if weather or other 4 ,'- t <br /> conditions impair the sate and effective disposal of the waste or if the waste DI <br /> SP ALOb,"- <br /> _ ? T _ <br /> 9S Iti _, O[f"° 4(TO BE C} P_L'E D'BY I"ORWARD I <br /> impairs the safe and effective operation of the Landfill Forward shall use *. � � �� I <br /> reasonable efforts to promptly notify Disposer of its inability to accept the e .maw i�S E , BEO i4EFi�1TE-Sr=KACE ROTI lER'�" <br /> waste for any reason If Forward's refusal to accept the waste is based on _ <br /> weather or other site conditions,Forward shall notify the Disposer when site ❑ SOIL <br /> conditions are expected to change such that Forward will be able to accept <br /> a the waste ❑ SLUDGE <br /> F _ <br /> ❑ NON-FRIABLE <br /> AGILITY TICKET NU BE • a! ASBESTOS <br /> ❑ WOOD - <br /> SIGNATtJRE-0 A ANT 77 <br /> ❑ ASH <br /> ' �' ❑OTHER _ <br /> r, <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 /> I TO SCHEDULE CALL(209)982-4298 12 c 4 C 1 <br /> MANIFEST # V v <br /> GENERATOR COPY <br />