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WARD NON-HAZARDOUS WASTE MANIFEST <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> �1VC" JCB ACCEPTANCE NO. <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> "A%, DELI BERGH :'ODDS.COMPAN V [LOVES ❑GOGGLES []RESPIRATOR [PARD HAT <br />' MAILING ADDRESS ❑TY-VEK ❑OTHER <br /> 1400 WALTFRLOO ROAD <br /> CITY, STATE, ZIP SPECIAL HANDLING PROCEDURES <br /> r ; STOCKTON,CA.L.IFORNI A 95208 <br /> PHONE <br /> i20131466-0590 <br />' CONTACT PERSON <br /> Lk', k I ONESHIGE <br /> SIGNP1, 70F AUTH RIZED AGENT/ TITLE DAT <br /> rWASTE T PE RECEIVING FACILITY <br /> ❑ SLUDGE <br />' ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> Q DISPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> •• ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> 1400 ATPRLOO ROAD STOCKTON,CALIFORNIA (209) 982- 1009 FAX <br /> NAME NOTES TRUCK NUMBER <br /> C A13ALLERO TRUCKLNG <br /> ADDRESS <br /> .520 B£RR I LSSA ROAD STE 52" <br /> . CITY, STATE, ZIP <br /> SAN JOSE CA 05132 <br />' PHONE END DUMP BOTTOM DUMP TRANSFER <br /> (408) -29-019c) ❑ ❑ ❑ <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> — 7 ❑ ❑ ❑ ❑ <br /> FORWARD INC, LANDFILL CUBIC YARDS <br />' Forward shall have no obligation to accept the waste if weather or other /<9 <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 <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 /> the waste <br />' [:3 SLUDGE <br /> ` REMARKS <br /> • ❑ NON-FRIABLE <br /> ASBESTOS <br /> FACILITY TICKET NUMBER <br />' ❑ WOOD <br /> SIGNATURE OF AUTHORIZED AGENT DATE <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 MANIFEST # C 9032 <br /> GENERATOR COPY <br />