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IMF! <br /> ` WARDRE)OUS WASTE MANIFEST <br /> RE ` <br /> aATMENT AND DISPOSAL FACILITY <br /> ���' JOB ACCEPTANC ' <br /> _ <br /> NNERORGl ".' <br /> _ _ I SQNAI:PROTECTjVE EQUIPMETHRIFTY OIL COFOA" NY NTfi, K <br /> ' , Vis;., []GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD <br /> ���g �- z . <br /> MAILWG AD �OF} s� ❑TY-VEK ❑OTHER <br /> CITY, D ICY; ix;9024 : _ _ _ SPECIAL HANDLING PROCEDURES <br /> • PHONE ��._�. __ -.... <br /> 923�98f> <br /> CONTACT PERSOf+Ts= = _, <br /> RAYMOND 'FRIEDRICNSffi�I ` <br /> F SIGNATURE OF AUTHORi7�Da,�b_ - DATE <br /> _ _ <br /> OfOTE <br /> 40•� F _- A RECEIVING FACILITY - __ <br /> ti i • � <br /> ❑ SLUDGE <br /> TREATIffCOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • BISPO SIL ElWOOD <br /> ffCONSV%j_PN SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> �� �` _s, ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> ATI OIL COMPANY <br /> _ P (209) 982-4298 PHONE , <br /> r M 1•a"'1 T/� •x111�1!1 <br /> f RA�,aMIC RVt5Ni1L+ _ __ (209) 982- 1009 FAX <br /> STOCKTON,CA m , <br /> ,a <br /> NAME NOTES TRUCK NUMB <br /> ' x Dx'NBE'STE TRANSPQRTATI4N, IN^. <br /> ADDRESS <br /> STAQ9O SHILOH_RD #Qa___CTY; p — - _=-- <br /> ---- <br /> NDSOR, CA 95492 <br /> PHONE--' 5;1-407 l END DWP BOTTOM DUMP TRANSFER <br /> 0 ❑ ❑ _ W <br /> F THORJ7;E��_NT <br /> OR DRIVER DATE ROLL-OFF(S) FLAT-BED .VAN- - DRQ - <br /> `-�FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no Obligation to accept the waste if weather or other <br /> cofidirioits impair the safe and effective disposal of the waste or if the waste <br /> impaus the safe and effective operation of the Landfill Forward shall useDIPOSA�METHOD:':"�BE <br /> reasonable efforts to promptly <br /> notify Disposer of i#s iriabdity to accept the <br /> waste for any reason if Forward's refusal to accept the waste is based on <br /> weather or other Site conditions,Forward shalt notify the Disposer when site ' SOIL -}- - --- <br /> _ <br /> c=tftns are expected to change such that Forward vwh be able to accept <br /> ffE _ +xw -' ❑ SLUDGE - - - -'-�-" <br /> Y �-� ',�o ❑i <br /> NON-FRIABLE - - - - ar n.I'`�S.-N�17.rl i�- 7� _ _- •-2--_ aiuw>. ' MESTM <br /> WOOD <br /> SIGN iE OF AUTHORIZED PA_7EEti- -_ <br /> `� i , ❑ ASH <br /> - �- • �� - - p OTHER - - <br /> SCHEDULING MUS7-I3E MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULEDI DADS AFi] <br /> SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY B>EF <br /> TO SCHEDULE CALL (209)982-4298 1k9263 <br /> ' GENERATOR COPY MANIFEST # C <br />