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NON-HAZARDOUS WASTE MANIFEST <br /> WARD o <br /> ' - WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. r ~� <br /> = 4 <br /> lllj! O ❑GLOVES []GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> - C]TY-VEK [:]OTHER <br /> SPECIAL HANDLING PROCEDURES <br /> s <br /> RAYMOND_FM EDRICHSEN„ <br /> SIGNATURE flF AUTHORIZED AGENT'f_7tTf_Ew__:'- C <br /> 1 * 7 <br /> VOSTE T-U4 6” - _ _ - .. .« •:-�. T K- RECEWING FACILITY- <br /> 9"r ❑ SLUDGE <br /> EAT OIL NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • DISPOS� [:1fL ❑ WOOD <br /> E :ONs TION SOIL ❑ ASN 9999 SOUTH AUSTIN ROAD <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> RTINfTM OIL COMPANY _ _ _ ______— (209) 982-4298 PHONE-- - <br /> *;%47 PACIFIC AVENUE — (209) 982- 1009 FAX <br /> 4OCKTON,CA <br /> NAME NOTES TRUCK 1VLJMBEF�; ' i <br /> DENBESTE TRP.NSPORTATION, INC. <br />' ADDRESS <br /> CITY.STA4 SHILOH RD #44 _ <br /> : WINDSOR, CA 95492 <br />' PHONE- 707--838-1407 END-DUMP BOTTOM DUNIP <br /> ❑ ❑ I <br /> SIGNATURE OF AUTHgR ZED AGENT OR DRIVER - DATE ROLL-OFFS) FLAT-BED _ -_VAN__- <br /> 0 <br /> I <br /> r FORWARD INC. LANDFILL cue,c YARDS _ - ua <br /> �ardlhave no oNVabon to accept the waste d weather or other <br />''� conditionsafe and effec�bve disposal of the waste or d the waste D �„�,,.a - <br /> ,.- mvmrs the safe and effective oper'abon of the Landfill. Forward shat use �� -�-u ,+ wil <br /> reasorlehle efforts to p wvdyr notify Dmoser of de webility to aOOBt]t the �"�"•`' _ <br /> waste for any reason If Forward s refuse# to accept the waste Is based 017 <br /> Weather or Other Sit@ OondMons.Forward*M rKitify file Dlapoaer when Site w Hca. <br /> ColnditKx m are expected W change such that Fm wafd wdi be able to <br /> ` the waste.--- - - - — - _ ❑ SLUDGE —_ <br /> _ ----- - ❑NON FA ABLE � ... <br /> ASBESTOS <br /> - - . .. _ _ ❑ WOOD <br /> i ❑ ASH <br /> ❑ OTHER <br />' SCHEDULING-MUST'SE MADE PRIOR TO 4,00 P M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY LOCUNiEDULED LOADS ARE <br /> SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WfTH THE LANDFILL THE 00 BEF01iE <br /> TO SCHEDULE CALL(209)982-4298 9 2 5 fi <br /> GENERATOR COPY MANIFEST * C 7 J <br />