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aa <br /> ', NON-HAZARDOUS WASTE MANIFEST <br /> WARD ��-, �r� ;� i WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEE NO.T <br /> QENERATOR _ REQUIREQRERSONAL PROTECTIVE EQUIPMENT_':`'_=-.X" :1 <br /> THRIFTY tL G RNY =�r R ❑GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARDHAT <br /> MAILING ADM*n,'- ` � = ❑TY-VEK []OTHER <br /> CITY STATE <br /> SPECIAL HANDLING PROCEDURES <br /> • PHONE <br /> RAYMOND FRIEDRICHSEN I <br /> SIG NA O UTHORIZED AGENT/TITLE DATE <br /> E - RECEMNG FACILITY <br /> ` s 0 t "t" E] SLUDGE <br /> Q TREAT r SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • DISPOONS,Q 1IL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> CONST UCTrON SOIL ❑ ASH <br /> Vii♦ #� i ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERAT7MW_ZP+Y OIL -COMPANY­-- --- - (209) 982-4298 PHONE---- <br /> 79471►CIFiC AVENUE -� (209) 982- 1009 FAX <br /> r STOCKTON,CA <br /> NAMENOTES TRUCK NUMBER <br /> DENEESTE TRANSPORTATION,.:`3� <br /> ADDRESS <br /> 93210p SHILOH RD #44 <br /> CITY,STAT�,ffMSOT V. 95492 <br /> PHONE 707-838-1407 END DUMP- BOTTOM DUMP TRANSFER <br />' SIGNATURE OF AUTHORIZED AGFyI,+IT OR DR ISR DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> FORWARD INC. LANDFILL cuBlc YARDS <br /> Forward shall have no obligation to accept the waste if weather or other �~ <br /> conditions impair the safe and effective disposal of the waste or it the waste DISPOSAL METHOD- -_ (TO BE GOMPl� FO <br /> ,� <br /> impairs the safe and effective operation of the landfill Forward shall use - - - _ <br /> reasoriable etforts to promptly nobly Disposer of ds inabddy to accept the <br /> waste for any reason tf Forward s refusal to accent the waste is based on L = <br />' weather or other sde conddsons,Forward shall nahfy the Dsposier when site _ <br /> conddiom are expected to charge such that Forward mll be able to accept , <br /> the waste <br /> _ ❑ SLUDGE <br /> REMARKS <br /> ❑ HON-FRIABLE _"-z <br /> ASBESTOS <br /> FAG jTX:rlCKET NUMBIER�y <br /> _ • r ❑ WOOD <br /> ySIG 9-61F AUTHORIZED AGE _ DATA' <br /> ❑ 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)982-42989294 <br /> GENERATOR COPY MANIFEST # C <br />