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�' ; NON-HAZARDOUS WASTE MANIFEST <br /> WARD w * WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. r.,�=-�. � - - y <br /> GENERATO@ -" WMREQUIRED PERSONAL PROTECTIVE EOUIPM NTT <br /> ARFY ` F � Y= ' <br /> [:]GLOVES 0 GOGGLES ❑RESPIRATOR ❑HARD HE <br /> MAIUNG'Ad=ft MW `�- ❑TY-VEK []OTHER <br /> CITY,MTE,Z0 � Q �-=- _= __ ---= SPECOL HANDLING PROCEDURES <br /> PHONE � 3.1Q-n923-987+ r- - - -- <br /> CONTACT'PERSON- <br /> RAYMOND FRU ED RI C E SiN _ <br /> SIGNAT ft OWUTHORIAED AGENT/ DATE ^ <br /> Y <br /> T <br /> RECEIVING FACILITY <br /> IL <br /> • � � SLUDGE <br /> #TREAT SOIL ❑ NON FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> DlsPo� IL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> 1CONST%Ct10N SOIL ❑ ASH <br /> #4 ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATI OIL CO Y (209) 982-4298 PHONE <br /> , ''; <br /> PAC:'i �- R ENiUE (209) 982- 1009 FAX <br /> STCCKTON, LA <br /> NAME DE.`19BESTE TRAMPORTATI ON, INC . NOTES T�K NUMBER _ <br /> ADDRESS <br /> 930 SHii."v44 - <br /> . CITY.STAT'kIRDSOR, CA 95492 :- <br /> • PHONE 707-838-1407 END DUMP BOTTOM DUMP TRANSFER <br /> SIGNATIfkE OF AUTHORIZED AG,9 T ORD 1VER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> �r; 13 E3 ❑ ❑ <br /> ' CUBIC YARDS <br /> FORWARD INC. LANDFILL <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 if the waste DISPOSAL METHOD'' (117 BE COMPLETED BY FO�� <br /> impairs the safe and effective operation of the Land�lll Forward shall use _ _ <br /> reasonable efforts to promptly notify Disposer of its inability to accept the _- - -— - Bl4 AERM _ . OMER <br /> waste for any reason It Forwards refusal to accept the waste is based on IL - - <br /> weather or other site conditions Forward shall notify the Disposer when srt _— <br /> + conditions are expected to change such that Forward vol be able to accept <br /> the or-We. = __-- - ❑ SLUDGEREMARKS <br /> A' <br /> NON-FRtA6LE - <br /> ESTOS <br /> FAGILITY TICKET NI MBER - = = r �'".F _ _ u• ❑ ASl3 <br /> ❑ WOODOD <br /> SEG OR#ZED AGENT DATE ,; - <br /> -� � ASH <br /> 1_4_ '_ ❑OTHER <br /> SCHEDULING MUST BE-MADE-PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARI <br /> SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> s TO SCHEDULE CALL (209) 982-4298 MANIFEST 0 9302 <br /> 1 GENERATOR COPY <br />