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NON-HAZARDOUS WASTE MANIFEST <br /> WARD WASTE TREATMENT AND DISPOSAL FACILITY <br /> t` JOB ACCEPTANCE N0, <br /> GENERATOI+HRIFTY OIL COMPANY REOUIRED PERSONAL PROTECTIVE EQUIPMENT,_;>>_l <br /> ❑GLOVES []GOGGLES ❑RESPIRATOR []HARD HAT <br /> MAWNG A01Q0W_`,L OOS ;BLV .,jy`: - ^' [:]TY-VEK ❑OTHER <br /> ` CRY,STA DR�N$Y7 CA 90240 � v - - SPECIAL HANDLING PROCEDURES <br /> DONE 314-923=0876 ..xs .y._ . . _ �: flame -. _ �3�� <br /> CONTACT PERSON 2— g / 1 <br /> RAYMONTD MMMCHSEN <br /> SIGNATURE OF AUTHORIZED AGENT /TITLE DATE <br /> I * � cis— <br /> I REGEMNG FACILITY T � <br /> WASTE TYPE SLUDGE <br /> TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> I GENERATIN HMM OIC, COMPANY--- -(209) 982--42-a8 PHONE <br /> 7-047 PACIFIC AVENUE (209) 982- 1009 FAX <br /> STOCKTON ,CA <br /> NAMEr�EYBESTE TRP.NSPORTATION, INC. NOTEs TRUCK NUMBER <br /> a A <br /> ADDRESS <br /> 930 SHILOH RD #44 k o <br /> . clrr,sTATE4I �OR, CA 95492 o° <br /> I <br /> PHONE 7011-838-1407 END DUMP BOTTOM DUMMOCV Z TRAM <br /> ❑ ❑ G �� <br /> SIGNATURE OF AUTHORIZI' AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED r =� <br /> �k rr 1 2 <br />!. FORWARD INC. LANDFILL CUBIC <br /> YARDS <br />�FForward shall have no obligaW to accept the waste d weather or other <br /> condfionts impair the safe and effective disposal of the waste or d the waste DISPOSAL MED= _� BE GOMPLIETED x <br /> impairs the safe and effective operation of the Landfill. Forward shall use - - - <br /> reasonable efforts to promptly notify Disposer of its inabdity to accept the <br /> waste for any reason tf Forward s refusal to accept tris waste is based' <br /> wIL _ <br /> weather or other sde conditions.Forward shall nobly the Disposer when aft - <br /> conditions are expected to change such that Forward wt6 be able to accept —=y <br /> the waste _ _ _ ❑ SLUDGE <br /> ••'�'�� =-`� NON�RI�LE <br />' <br /> ASBESTOS <br /> �t - <br /> FATY TICKET NUMBER ' _�,_-;i�'- ? w �: Y <br /> ❑ WOOD <br /> SIGN��i�OF A ORIZED A - Drt►TE z --_ <br /> [:] ASH <br /> I _ 7 <br /> OTHER - <br />' SCHEDULING MUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL * ANY UNSCHEDULED LOADS AR <br /> SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORt <br /> TO SCHEDULE CALL (209) 982-4298 GENERATOR CORY MANIFEST # C 9566 <br /> _ _ <br />