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WARD <br /> NON-HAZARDOUS WASTE MANIFEST <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> MAE. JOB ACCEPTANCE N0. <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> `Y AN DEQ, BERGH FOODS,COMP 4.11 Y ;'LOVES [:]GOGGLES ❑RESPIRATOR ffQARD HAT <br /> MAUNG ADDRESS ❑TY-VEK ❑OTHER <br /> 1400 WATERLOO ROAD <br /> CITY STATE, ZIP SPECIAL HANDLING PROCEDURES <br /> STOCKTON, CALIFORNIA 95208 <br /> • PHONE <br /> 1209)4o6-9580 <br /> CONTACT PERSON <br /> FRANK YONESHIGE <br /> 51Gjr Rj OF AUT RIZED AGENT /TITLE DAT <br /> .7b " <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 /> 1400 W ATFRE OO ROAD STOCKTON,CALIFORNL4 (209) 982- 1009 FAX <br /> NAME NOTES TRUCK NUMBER <br /> CABALLERO TRUCKING <br /> ADDRESS C <br /> i <br /> 2530 BER�RYESSA ROAD,SM 527 rn <br /> . CITY,STATE, ZIP <br /> S-MN JOSE CA 05132 <br /> PHONE END�cD,UMP BOTTOM DUMP TRANSFER <br /> -403) '1.9-0100 "fes- ❑ ❑ <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL CUBIC YARDS' /Forward shall have no obligation to accept the waste If weather or other l z/ <br /> conditions impair the safe and effective disposal of the waste or it 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 Forward s 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 /> ` 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 9 0 3 8 <br /> GENERATOR COPY <br />