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WARD NON-HAZARDOUS WASTE MANIFEST <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> INC. JOB ACCEPTANCE N0. <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> `.'NN DEN BERGH FOODS,COI,.IPxNY [ rQLOVES ❑GOGGLES []RESPIRATOR [gMARD HAT <br /> ' MAILING ADDRESS ❑TY-VEK []OTHER <br /> 1.100 W:ATI~R.LOO ROAD <br /> CITY, STATE, ZIP SPECIAL HANDLING PROCEDURES <br /> STOCKTON,CALIFORNIA 95208 <br /> PHONE <br /> t 209)•too-9580 <br /> CONTACT PERSON <br /> FIZ%NK YON ES111GE <br /> SIGNATWIRE OF AU ORIZED AGENT / TITLE J DAT <br /> + WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br />' ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> ❑ DISPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> 1s00VvATERLOOROAD STOCKTON CALIFORNIA (209) 982- 1009 FAX <br /> CWAL LgRO TRUCKING NOTES TRUCK NUMBER <br /> NWRPRYESSA ROAD,S'CIi 527 <br />' ' �A1�115t S '�1�g5122 , <br /> PN�•n_pI^5 END DUMP BOTTOM DUMP TRANSFER <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> r <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 DiSPOS L E7HOD [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 STOCKPIhi_ 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 />' ❑ SLUDGE <br /> � REMARKS <br /> ' ❑ NON-FRIABLE <br /> FACILITY TICKET NUMBER ASBESTOS <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 9033 <br /> GENERATOR COPY <br />