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NON-HAZARDOUS WASTE MANIFEST <br /> WARD WASTE TREATMENT AND DISPOSAL FACILITY <br /> I t <br /> JOB ACCEPTANCE NO. , <br /> i <br /> ERATOR _ ., � _ _ - - ""�=_ REQUIRED PERSONAL f ROTECThM EGLOPMENT"""" <br /> THRIFTY OIL COMPANY ❑GLovEs <br /> ❑GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> w" MAILING ADQ6 ~L�AKS' OOD BLVD <br /> ❑TY-VEK []OTHER <br /> r <br /> CITY,STATT}'gFIRY i CA-'902 40; �'_ SPECIAL HANDLING PROCEDURES <br /> ' PHONE - S Ste✓ <br />� 3.10-923-987 _:i <br /> 5-- --..-- <br /> CONTACT PERSON - - --=-t �y <br /> { RAYMOND FRIEDRICHSEN <br /> SIGNATURE OF AUTHORIZED AGENT/TITLE - DATE <br />' * bu a,I jab�_ - '�] <br /> WASTE TYPE RECEIVING FACILITY <br /> ' ❑ SLUDGE <br /> [TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • [4 DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> . ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> I GENERATINf I OIL COMPANY _ _ ___ (209) 982-4298 PHONE <br /> 754-? P-uCIFIC ANENU' _ (209) 982- 1009 FAX <br /> STO--KTON , CA <br /> NAME NOTES NUMBER• <br /> Dr'NSESTE TRANSPORTATION, INC <br /> ADDRESS �� *are,- <br /> 9 0 SKLOK RD ##44 '� <br /> •. CITY,ST110 <br /> ATEOnTodsm, CA. 95492 <br />' PHONE 707-838-1407 EN D P BOTTOM DUM , TRA , <br /> SIGNA� ALRE OF AUTHORIZED ENT OR DRIVER DATE RO FF(S) FLAT-BED WAN&&* DR S <br /> *i <br /> / ., f Ll El ❑ <br /> ,� ! . <br /> FORWARD INC. LANDFILL CUBIC YARDS I �, <br /> Forward shall have no obligation to accept the waste d weather or other <br /> l �! <br /> conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL METHOD, BE COMPLETED 8Y <br /> impairs the safe and effective operation of the Lam= Forward shall use _ - <br /> reasonable efforts to promptly notify Disposer of its inability to accept the �_-`�-' BID` AERA7 E <br /> waste for any reason ff Forwards refusal to accept the waste is based on IL -- — - <br /> weather or other site condrtw Forward shall noW the Disposer when site - <br />' conditions are expected to change such that Forward will be able to acceptW` <br /> the waste ❑ UDGE <br /> a {" �i431•r�Y.auwecrais+r�s k-w i, <br /> NON-FRIABLE <br /> ASBESTOS <br /> FAC ury TICKET NUMBER <br /> .. ❑ WOOD <br /> SIGNATSFAUTHORIZED AG = CTATE <br /> e- ❑ ASH <br /> ❑ OTHER <br />' SCHEDUUNG-MUST`SE MADE PRIOR TO 4.00 P M THE DAY PRIOR TO EXPEND ARRIVAL • ANY UNSCHIrDULED 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 GENERATOR COPY MANIFEST # C 9568 <br />