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' rNONHAZARDOUS WAS`T'E MANIFEST <br /> FOR1�VARD <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> INCA JOB ACCEPTANCE N0. <br /> GENERATOR F REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> THRIFTI- OIL COMPANY _ El GLOVES (3 GOGGLES [3 RESPIRATOR ❑HARD HAT <br /> MAILING ADPdb�b%-_ QD`BLVD ❑TY-VEK []OTHER <br /> CITY,STAT 113 - Ck 90240 -- - SPECIAL HANDLING PROCEDURES <br /> PHONE �} <br /> � -`923-9@7 <br /> CONTACT PERSON <br /> RAYMOND FRIEDRICHSEN <br /> SIGNATURE OF AUTHORIZED AGENT/ TITLE DATE ` <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ <br /> SLUDGE WARD INC LANDFILL <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FOR <br />' DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> CONSTRUCTION SOIL ❑ ASH <br /> •• ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATII ftTI f* OIL CoMpANI�-----_--- --- - -(209) 982-4298 PHONE- <br /> 76471 <br /> HONE-----76 ; PACIFIC AVENUE --- (209) 982- 1009 FAX <br /> STOCKTON ,CA <br /> NAME NOTES NUMBER <br /> TRANSPORTATION, INC . <br />' ADDRESS Jr �� *09a <br /> ~# <br /> at <br /> . CITY,STATeg SKLOH FAD #44 <br />' + -LoWS:R, CA 95492 <br /> PHONE 707-838-1407 END DUMP BOTTOM DUM <br /> Z;SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-O S) FLAT-BED❑ t D <br />' ❑ ❑ T& Do's <br />' FORWARD INC. LANDFILL CUBIC YARDS =-- <br /> E Forward shall have no oblsgabon to accept the waste it weather or other <br /> conditions impair the safe and effective disposal of the waste or rf the waste DISPO.SAlLAEETHOD: -. (TQ BE COMPLETIDDSC FORY <br /> impairs the safe and effective operation Of the Landfill Forward steal! use .77- E - --. <br /> reasonable efforts to promptly notify Disposer of its urabdity to accept the <br /> waste for any reason If Forwards refusal to accept the waste Ls based on IL <br /> weather or other site conditions,Forward shall nobly the Disposer when e <br />' conditions are e)pected to change such that Forward vvQ be_able to accept <br /> the waste _ []SLUDGE <br /> ❑ ASBESTOS - <br />' FACILITY TICKET NUMBER:- '� ;��"� -= ' <br /> 1 ❑ WOOD <br /> iS1_ M- RE AUTHORIZED A "_ _ j DATE <br /> ❑ ASH <br /> ❑ OTHER <br />' SCHEDULING VUST BE MADE PRIO"O 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 /> TO SCHEDULE CALL (209) 982-4298 MANIFEST C 9562 <br /> GENERATOR COPY # <br />