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In NON-HAZARDOUS WASTE MANIFEST <br /> WARD '° 10 WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE N0. <br /> GENERATOR., ',_ ' ux a �� fig. 4 ..�.� _T 13EQUIRED PERSONAL PROTECTIVE EQUIP-M �i���.W <br /> 11-11 � . .._ .- - <br /> mR V 1L C4M_PANY ❑GLOVES []GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> MAILING AbA "'' r'�� " ?k, ' '? `T, "7"-' ❑TY-VEK ❑OTHER <br /> "�nVG�� �. <br /> CITY,STATe;R g'Y F 9U24a _ SPECIAL HANDLING PROCEDURES 1] <br /> PHONE 928=98' <br /> CONTACT PERSON = <br /> RAYMOND 1FMEDRICHSEN <br /> SIGI* RE OF AUTHORIZED AGENT /TITLE DATE <br /> } <br /> STE RECEIVING FACILITY rgT� <br /> * 4 41 <br /> ❑ SLUDGE I <br /> FORWARD INC LANDFILL <br /> iEAW�SO1L ❑ NON-FRIABLE ASBESTOS <br /> f, <br /> • 'DISPO� IL ❑ w0°D 9999 SOUTH AUSTIN ROAD <br /> sCONtL4� j'ON SOIL ❑ ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> ERA ort coax _- - -- - - - --- (209} 982-4298 PHONE <br /> P.P.j.FrLC AVENUE (209) 982- 1009 FAX <br /> STOCKTVON ,CA ! <br /> NAME � CW NOTES TRUCK NUMBER <br /> + Dr*�Q�c�rr TRAPTSPCRTAT-:„*v; , Ilr1147� . <br /> ADDRESS I ,1� y :S <br /> 930 SiiiLOF: RD #4 Cp �D�S ' <br /> . <br /> crO STATrInenR CA 95492 r 15 <br /> PHONE 707--838-1407 END DUMP _ BOTTOM DUMP <br /> ❑ ❑ <br /> SIGNATURE OF e<HORIZED AGENT OR DRfVER DATE ROLL-OFFS) FLAT-BED VAN 11RUAS <br /> t FORWARD INC. LANDFILL CUBIC YARDS ~=;+=-1 <br /> ._r..,....- <br /> Forjrard shall have no oblgatan to accept the waste if weather or other <br /> +rr,parr the safe and effective d,sposal of the waste w if the waste DISPOSAL METHOD: ROBE CO .ETEf� <br /> ur,paus the safe and effec6we operation of the Landfill. Forward shall use _ e d-., A <br /> 13Y F <br /> reasonable efforts to promptly notrfy Deposer of da e%ablldy to accept the — _ <br /> waste for any reason If Forward s refusal to accept the waste is based on __�= <br /> weather or other sde conddwM Forward shall no* the Daposer when site SOIL <br /> condot,ons are egected to change such that Forward wil be able to accept <br /> the waste ❑ SLUDGE -y=�. "• <br /> r - [L�� T..�+Gs�is3•r7 w - NON-FRIABLE <br /> -- ❑ ASBESTOS <br /> FACILITY TICKET NUMBER ` =;; <br /> Si� F A AG - �- - DATE�, -:� ❑ WOOD <br /> ❑ ASH <br /> �C �--��� \ �,, `r ❑ 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 # Ci 9268 <br /> GENERATOR COPY <br />