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=' F 0 RWA R FJ 1JJJJJJJ10N-HAZA' )0US WASTE MANIFEST <br /> '�►� I N C O R P O R A T E L WASTE TRE, LENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE N0. 7653-71 <br /> GENERATOR M _._ ,v < ._., s KQU1REQ_PE9SOWPROTECTNE_ECtUIPMENT <br /> UNOCAL 7 6 AMG NORTH REGION LLIGLOVES []GOGGLES []RESPIRATOR ❑E-IARD HAT'. <br /> MAILING ADI]RESS - ' �_ "� g� MTY-VEK ❑OTHER <br /> 2121 N,..CAL I FORN I A BLVD #_„2 5 0 <br /> CITY STATE;ZIP <br /> u SPECIAL HANDLING PROCEDURES: <br /> "WALNUT CREEK, CA 94596 _-- <br /> PHONE ` <br /> `('5'10 )-944_ 786 <br /> CONTAC�.PERSOI� <br /> BOB ROUST <br /> �idIVATI]RE OF AUTHORIZED AG1=NT/TITLE DATE - A _ <br /> L.._ <br /> WASTE T µ M . <br /> RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • ❑ DISPOSAL SOIL ❑ 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION 501 ASH❑ ASH • <br /> ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> ,GENERATING FACILITY (209) 982-4298 PHONE <br /> UNOCAL STATION ` 01'23 <br /> 1034 CENTRAL AVENUE (209) 982- 1009 FAX <br /> TRACY, CA <br /> NAME .�,, ., . .: . " .� CTOR LEC # - r'TRUCKNEIMBER '.. <br /> -'MANtEY-�& SONS�'_'TRUCK I NG; <br /> «AD <br /> "- - - - ,^ ^a °^s.---fis'- .. ^s2-"a[ c r -ar•-'aC crauc. r:DRESS ., sa ,, sCREEK- ROAD— <br /> ._�i_'-.ti�x"• <br /> 8 8 9 5 ELDER ` <br /> • GlTY,STATE ZIP _ �- - -.. <br /> w}� ELER LIC # , <br /> .t" V`2 .ti...w=r.uaw.wti.=iA-+a:.si�wa'.. Si:-l�afaes.5w1�'.'Y.Si. ..—......Wwwr.s�..u1.1'�`=l...0 a rWwc.. sN..],.: A.s1: -,.�Y 'y I Y •: <br /> . ,"SACRAMENTO., CP,�"` 95 a <br /> UMP vcm._'. <br /> .(.91,6 ) 381-6864 0 0 <br /> ------ --- .._�.:<. .,.._.. .... .. M D , �TRAEVSI'ER <br /> El <br /> SIGNATURE OF P;UTHORIZED;,AGENT OR;DREVER DATE '.,. _- Y OL.L OFF(3 :FLAT BED _ VAN pa!!MS <br /> El <br /> FORWARD INC. LANDFILL BIC_YARDS <br /> 6 YARDS <br /> Forward shall have no obligation to accept the waste if weather or other 7- <br /> conditions impair the safe and effective disposal of the waste or it the waste 1SPOSAL METHOD (TO BE COMPLETIED;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 z .ate.:;DISPOSE 810 AERATE Ta I—LE <br /> waste for any reason_ If Forward's refusal to accept the waste is based on SOIL <br /> weather or other site conditions,Forward shall notify the Disposer when site El <br /> ' conditions are expected to change such that Forward will be able to accept <br /> the waste. SLUDGE <br /> HEMA. - <br /> . p_,�_,_ _, NON-FRIABLE <br /> El <br /> ASBESTOS <br /> , <br /> WOOD <br /> ` , <br /> SIGi�fATUR ,.QE�AI.>' HOR„ZED,IGEEVT r F :' DTE' <br /> ASH <br /> 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 <br /> F01fG9511NH16-96 FORWARD INC,CODY MANIFEST# C 649698 <br />