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I <br /> WA <br /> RD NON-HAZARDOUS WASTE MANIFEST <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> INC. JOB ACCEPTANCE NO. <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> DEN BERGH FOODS CONIPAN"� LOVES [:]GOGGLES ❑RESPIRATOR EWARD HAT <br /> MAILING ADDRESS ❑TY VEK ❑OTHER <br /> 1400 %ATF RLOO ROAD <br /> CITY, STATE, ZIP SPECIAL HANDLING PROCEDURES <br /> • STOCK',ON CALIFORNIA 95'.08 <br /> PHONE <br /> �'09)doo- 584 i <br /> CONTACT PERSON <br /> i rL,kNK .'ONESHIGE <br /> SIG OFA THORIZED AGENT/ TITLE DAT <br /> ,. <br /> • WASTE TYPE 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 /> " <br /> [:1 OTHER <br /> MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> 1400%1 ATFRLOO ROAD STOCKTON CALIFORNIA <br /> (209) 982- 1009 FAX <br /> C'A ALLI~RJTRUCKING NOTES TRUCK NUMBER <br /> M I3 RRYESSA ROAD,SI'E 5'.7 <br /> . CITY ggTATE, IP <br /> S_M 10�E RA 95I32. <br />' PHONE+c 0I A6 END❑DUMP BOTTOM DUMP TRANSF <br /> SIGNATURE O AUTHORIZED AGEN R DRIVERAT - <br /> D E ROLL OFFS) FLAT-BED VAN DRUMS <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 shalt 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 ❑ SLUDGE <br /> t ` REMARKS <br /> ❑ NON-FRIABLE <br /> FACILITY TICKET NUMBER ASBESTOS <br /> ❑ WOOD <br /> SIGNATURE OF AUTHORIZED AGENT DATE <br /> ❑ ASH <br /> ❑ OTHER <br /> WE I OWNERS" <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 9037 <br /> GENERATOR COPY <br />