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' NON-HAZARDOUS WASTE MANIFEST <br /> WARDWASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. <br /> � A <br /> 4REQUIRED PERSONAL.PROTECTIVE EQUIPMENT <br /> °ENERITO�HRIFTY OIL COMPANY _ [-]GLOVES ❑GOGGLES []RESPIRATOR ❑HARD HAT <br /> MAILANG AP1l -'LA9=0D_BLVD_ *fs " y ,`r� `' ❑TY VEK ❑OTHER <br /> CRYI STATED2PSY•CA 94240 - - _A, _ SPECIAL HANDLING PROCEDURES <br /> I - PHONE 3 10-923-98' 6 <br /> CONTACT PERSON - <br /> RAYMONJ FRIEDRICHSEN <br /> SIGNATURE OF AUTHORIZED AGENT/TITLE DATE <br />' * t�ll <br /> WASTE TYPE RECEIVING FACILITY J <br />' ❑ SLUDGE <br /> El TREATMENT SOIL [:1 NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> •' ODISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD❑ CONSTRUCTION SOIL ❑ ASH <br /> .. ❑ OTHER MANTECA, CALIFORNIA 95336 <br />' GENERAnNTRMU" OIL COMPANY-- ---- -- - {209)-982--4298 PHONE � <br /> T <br /> ;6414 1 PACIFIC AVENUE (209) 982- 1009 FAX <br /> STOCKTON, CA <br /> NAME NOTES K NUMBER <br /> CE::SESTE mk ANSPORTATION, INC . J , <br /> ADDRESS <br />' RD 4 4 �a,3�► a <br /> . cf I Y,STATO� p SH��OH # G c o <br /> ,n91,,TDSOR, CA 95432 -2:i! ° <br />' PHONE 7 X838-1407 END❑DUMP BOTTOM DUM Q <br /> 4 <br /> SIG U F O D AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED �_ <br /> /�7 �j ❑ ❑I Q p'op❑ccC8 c <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the wasted weather or other 1� <br /> CprddiOnS impar the safe and effective disposal of the waste or if therrrasteDEAL rTF�ODti ^'� GONLEEiI <br /> 3mpars the sate and effective operation of the Landfill Forward shah use s---_~ <br /> �.�x' ' 8101 Y 11E✓ E <br /> reasonable efforts to Pity rgtdY Disposer of its atabrirty to accept the <br /> waste for any reason it Forwards refusal to accept ttte waste is based: on L _ <br /> weather or other site cond�trons,Forward shop nobly the DrspoSer wren Site - <br /> cond"ns are expected to change such that Forward wrp be able to aocept Y- <br /> the waste ❑ SLUDGE <br /> • REMARKS <br /> , •'�` INION-FRIOLE <br />' F/'R/.LI f I ICXE NUMBEF! ❑ r <br /> WOOD <br /> SIGNATURE OFAtl3 ORIZE �' DATE-=w <br /> �___� i" r -�` .. ❑ ASH <br /> �_ - 1 �� V ❑ OTHER <br /> SCHEDULING MUSrSE`MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br />' <br /> SUBJECT TO REFUSAL <br /> CALL (49O 6 ARRIVAL <br /> 98 ONGOING DAILY DELIVERIES MUST BE CHEDULEffWITH THE LANDFILL THE DAY BEFORE <br /> TO MANIFEST * C 9567 <br /> GENERATOR COPY - <br />