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WARD NON-HAZARDOUS WASTE MANIFEST <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> INC. JOB ACCEPTANCE NO. C-M-M-4711 -] <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> %AN DEN BERGH FOODS,COMPANY [LOVES ❑GOGGLES []RESPIRATOR ARD HAT <br /> MAILING ADDRESS [:]TY-VEK ❑OTHER <br /> 1400 WATFRLOO ROAD <br /> CITY, STATE, ZIP SPECIAL HANDLING PROCEDURES <br /> STOCKTON,CALIFORNIA 05208 <br /> PHONE <br /> G9>466-9580 <br /> CONTACT PERSON <br /> f R.AINK YONESHIGE <br /> SIGiyQT OF AUTHORIZED AGENT / TITLE DATE <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • [ DISPOSAL SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION 501E ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> 1.40,0 WATERLOO ROAD STOCKTON,CALIFORNIA (209) 982- 1009 FAX <br /> NAME NOTES TRUCK NUMBER <br /> CABALLERO TRUCKING <br /> ADDRESS C-33 <br /> ';30 3ERRYESSA ROAD STE 5'` <br /> • CITY, STATE, ZIP <br /> • SANI JOSE,CA 95132 <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> 1408 _29-0190 t, ❑ ❑ <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS - <br /> ❑ ❑ ❑ ❑ <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 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 E] SOIL <br /> weather or other site conditions Forward shall nota the Disposer when site <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 0 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 0 7 <br /> GENERATOR COPY <br /> MANIFEST # C <br />