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NON-HP'ARDOUS WASTE MANIFEST <br /> RD `✓ WASTE *t,-.tATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. <br /> — 756411 . <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> California Welding Supply ®GLOVES ❑GOGGLES ❑RESPIRATOR ®HARD HAT <br /> MAILING ADDRESS ❑TY-VEK ❑OTHER <br /> 11D0E. 11th St. <br /> CITY,STATE,ZIP SPECIAL HANDLING PROCEDURES: <br /> m Tracy, CA" none <br /> PHONE <br /> (209)466-8064 <br /> CONTACT PERSON - <br /> Wm. Hunter <br /> SIG AUTHORIZE AGEN TIT �' DATE <br /> 10/8/98 <br /> e WAST TYP RECEIVING FACILITY <br /> F� SLUDGE <br /> E5 TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> ❑ DISPOSCONSTRUCTION <br /> SOITIO ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> Same as above <br /> NAME ' NOTES: TRUCK NUMBER . <br /> Jim Thorpe Oil, . r-- <br /> ADDRESS 7 c/ <br /> P.O. Box 357 <br /> . CITY,STATE,ZIP <br /> Lodi, CA 98241-0357 <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> ' El <br /> SIONAAT 8F 1BRIZED AGENT OR DRIVER DATE ROLL�FF(S) FLAT-BED❑ VAN DRUMS <br /> ❑ ❑ ❑ ❑ <br /> 10/8/98 <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste if weather or other <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 DIS OSE BIO I AERATE STOCKPILE OTHER <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 �- <br /> • conditions are expected to change such that Forward will be able to accept <br /> the waste. ❑ SLUDGE <br /> 6 REMARKS <br /> ❑ NON-FRIABLE <br /> FACILITY TICKET NUMBER ASBESTOS <br /> ❑ WOOD <br /> SIGNATU E O AUTHORIZEDAG NT ATE . <br /> ❑ ASH <br /> ? '.',' ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL c 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 MA2 0 8 6 6 <br /> NIFEST # <br /> GENERATOR COPY <br />