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VTAM ���� NON-HAZARDOUS WASTE MANIFEST <br /> ' WASTE TREATMENT AND DISPOSAL FACILITY <br /> INC. JOB ACCEPTANCE NO. <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> VAIN DEN BERGH FOODS COMPANY CLOVES ❑GOGGLES ❑RESPIRATOR MMARD HAT <br /> MAILING ADDRESS ❑TY-VEK C]OTHER <br /> 1400 WATERLOO ROAD <br /> CITY, STATE, ZIP SPECIAL HANDLING PROCEDURES <br /> STOCKTON CALIFORNIA 95208 <br /> PHONE <br /> 1209)4ao-a580 <br /> CONTACT PERSON <br /> FR NIK YONESHIGE <br /> SIGN�TUI? OF AUTH RIZED AGENT/ TITLE DA <br /> .. <br /> WASTE TYPE IRECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • Q DISPOSAL 501E ❑ 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> 1 400 W-kTERI.00 ROAD STOCKTON CALIFORNIA <br /> (209) 982- 1009 FAX <br /> tWALLERO TRUCKING NOTES TRUCK NUMBER <br /> STHRRYESSA ROAD. STB 527 <br /> i�z'q RU,��14 95132 <br /> PH N END DUMP BOTTOM DUMP TRANSFER <br /> 30 1 20-0196 ❑ ❑ �f <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> u_h/91 <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 13Y 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 1110 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 /> ` REMARKS <br /> NON-FRIABLE <br /> ❑ ASBESTOS <br /> FACILITY TICKET NUMBER <br /> El WOOD <br /> SIGNATURE OF AUTHORIZED AGENT DATE <br /> ❑ AS H <br /> 11 ❑ 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 /> 70 SCHEDULE CALL(209)982-4288 <br /> GENERATOR COPY MANIFEST # t✓ 9045 <br />