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NON-HAZARDOUS WASTE MANIFEST <br /> WARD j �;�� WASTE,TREATMENT AND DISPOSAL FACILITY <br /> INC. JOB ACCEPTANCE NO.' <br /> _�.. <br /> REQUIRED-- Ql l <br /> _ _ ❑GLOVES ❑GOGGLES ❑RESPIRATOR [:]HARD I- <br /> tiWlLil�iAD 'WCO BL�JW <br /> _` �� ❑TY-VEIC ❑OTHER _ <br /> SPECIAL HANDLING PROCEDURES, J <br /> PHON 14-923�jSl <br /> C�PERSON' _ ►Ndti f1T� _„" Ri�T-""c a�a4�a sG a7 <br /> RAYMOND FRIEDRI <br /> SIGMARE OF AUTHORIZED- - TITLE =^= TE <br /> 1 <br /> WASTE _ <br /> .. ' 4 RECEIVING FACILITY <br /> ♦ 471 ❑ SLUDGE <br /> *fREATMIENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> 4VISPOS IL ❑ ASH <br /> ACON9999 SOUTH AUSTIN ROAD <br /> CON TION SOIL ASH - <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> NERATIOWvff OIL COMPANY _ _ _ _ _ _ _ (209) 982-4298 PHONE_ <br /> RACIFIC AVENUE _ <br /> *bCKTQN,CA (209) 982- 1009 FAX <br /> NAME DENSTSTE TRANSPORTATION, INC. NOTES TRUCK NUMBER <br /> ADDRESS C Sn 1r�U-� + <br /> 930 SHILOH RD #44 <br /> . CITY,sTAT,rr' F,DSOF ; CA 95492 } <br /> PHONE 707-838-1407 END DUMP BOTTOM DUMP TRANSFER <br /> ❑ ❑ <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED - VAN,— DIRK <br /> FORWARD INC. LANDFILL CUBIC YARDS _ <br /> Forward shall have no obAgawn to accept the waste d weather or oU*r - <br /> conditions unpwr the sate and effep rve disposal of the waste or d-the waste <br /> impairs the safe and effective operation of the landfill_Forward shah user.M�=-� <br /> reasonable efforts to promptly rmtrfy Disposer of its inability to accept the <br /> waste for arty reason If Forward s refusal to accept the waste is basOdp-� - r <br /> weather or other sde diom Forward shall notify the Disposer when site L <br /> conditions are to ghange such that Forward will be able tothe <br /> eDCept <br /> • waste � �== r ❑ kUDGE - — - <br /> ,- -- - ---- --- ASBESTOS Y <br /> ❑ „r c u <br /> _.._ OFAU�i-IO�DSOD <br /> ❑ ASH <br /> -CI <br /> OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4.00 P.M THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ICF <br /> SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFOR <br /> TO SCHEDULE CALL(209)982-4298 MANIFEST # C 9295 <br /> GENERATC_-COPY <br />