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r <br /> WA R B <br /> NON-HAZARDOUS WASTE MANIFEST <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> r JOB ACCEPTANCE N0. Y- , <br /> GENERATOR <br /> REQUIRED PERSONAL PROTECTIVE <br /> THRIFTY OIL COMPANY ❑GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> MAILING A ;; �:kl�s�_ t ❑TY-VEK ❑OTHER <br /> �6 L�iA�Wo�n=BLED-------- <br /> CITY,STATED�REY►CA--94240 -� --_ -_" SPECIAL HANDLING PROCEDURES <br /> • PHQNE - 330-923-987 - <br /> CONTACT PERSON <br /> RA:MONZ "EKEDRICHSEN <br /> SIGNATURE.OF AUTHORIZED AGENT/TITLE DATE <br /> * Anict <br /> WASTE TYPE RECENING FACILITY ._ <br /> SLUDGE <br /> [TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • a DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH I <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERAT1111M ri OIL=COMPANY--- - --- ---- - (209) 982-4298 PHONE-- <br /> 7647 PACIFIC AVENUE- (209) 982- 1009 FAX ! <br /> STOCKTON ,CA f <br /> NAME NOTES CK NUMBER <br /> DEYBESTE TRA_NSPOIR ATION, 1NC <br /> ADDRESS <br /> • <br /> 930 SHiLLH RD 044 ��07_3020! e ' <br /> •. CIrY,STATI-Zj <br /> _hUSO , CA 95492 <br />' PHONE 707-838-1407 END DUMP BOTTOM DUM <br /> SIGN A O AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED 114AM DR <br /> ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL CUBIC YARDS _ T <br /> Forward shah have no obligation to accept the waste it weather or other <br /> condmhonu impair the safe and effecthve disposal of the waste or if the waste BE(ToBE��BY <br /> par s the safe and etfectmve operation of the Landfill Forward shalt use - OD" "f <br /> reasonable efforts to promptly notify Disposer of its inability to accept tiz-4A <br /> waste for any reason If Forwards refusal to accept ftie waste is based on <br /> t weather or ofther site coriddions Forward shalt notify 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 /> FAC#UTY TICKET NUMBER' <br /> ❑ ASBESTOS <br /> ��-- 1 ❑ WOOD <br />" ZAHMUREF AIJI:I �P-A __jj' t� f DAM v ❑ ASH <br /> ❑ OTHER <br />' SCHEDULING MUST BE MADE PRIOR TO 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 9564 <br /> GENERATOR COPY <br />