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NON-HAZARDOUS 1NA!�TE MANIFEST <br /> ' FORPMR6 WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE N0. <br /> � - <br /> GENERATOR `` REQUIRED PERSONAL PROTECTIVE ECKJiPMENT" <br /> TY, OIL COMPANY [-]GLOVES GOGGLES ❑RESPIRATOR ❑HARD HA <br /> MAILING ADR ❑ ❑_ w r � TY-VEK OTHER <br /> 1000, LAMOOD BLVD <br /> CFTY.STATEDMEY CA 90240 ` T - -� SPECIAL HANDLING PROCEDURES <br /> - PHONE <br /> 310-923-9876 - <br /> CONTACT PERSON pp- <br /> SIGNATURjFM��}}RENLW7� DATE <br /> • WASTE TYPE - RECEMNG FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL r-1NON-FRIABLEASBESTOS FORWARD INC. LANDFILL <br /> • &I DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN RE)AB- <br />' ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ OTHER MANTIECA, CALIFORNIA 95336 <br /> GENERATINAC�I(E ,`(• OIL COMPANY _ _ (209) 982-4295 PHONE <br /> f�PACIFIC AVENUE (209) 982- 1009 FAX <br /> - STOCKTON CA <br /> NAME NOTES NUMBER <br /> D E'+ 3ESTE TROl3SPORTAT TON r INC S��J���`� �°°CO 0400 <br />' ADDRESS • • <br /> . CITY,sTAOSH7IWH RD #44 • /'7/ <br /> co <br />' PHONE707«,030_+407 END DUMP BOTTOM DUMFO00 <br /> I, TR <br /> 95492 El <br /> SIGNIjtTL1RE DF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED ' rRWr <br /> ' ❑ ❑ 47�:cc ❑oo <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste,[weather or other <br /> 1 conditions impair the safe and effective disposal of the waste or if the waste <br /> ' impairs the safe and effective operabon of the Landfilf Forward shalt use' DISPOSAL�+QE'CI•!t i C -^ <br /> ' reasonable efforts to promptly notify Disposer of its wmb ktY to accept the - <br /> waste for any reason It Forward s refusal to accept the waste is based on IL <br /> weather or other site conditions,Forward shall notify the Disposer when <br />' conditions are emected to change such that Forward "I be able 6o accept - <br /> ppthhe����w�appstte�� s s ❑ SLUDGE <br /> • N0N-FRI4BLI= . <br /> ❑ ASBESTOS <br />' FAGLiTY TICKET NUMBER <br /> SIGNATURE OF AUTHO <br /> 777 ,s r�, ❑ ASH - <br /> -',� / ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR-1 4.00 P M THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS AR <br /> SUBJECT TO REFUSAL UPON <br /> CALL (208y 982-4298 OGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORF <br /> TO GENERATOR COPY MANIFEST # C 9561 <br />