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o R WAR111J <br /> QN-HAZARDOUS WASTE MANIFEST <br /> 9999 South Austin Road <br /> Manteca, CA 95336 T <br /> "� �nafill (2Q9)982. 298 FIx(209)982 IOpg P 0 Box CA 9 POSAL FACILITY <br /> Stockton QATE <br /> R�11rc'Rem, {209)982_4936 Karn Office (2090666-1482 <br /> Fax (209)465.063T <br /> Ct1ST0MER Nt] E.IIPMENT <br /> TRUCK No TOR ❑HARD FIAT <br /> 811N No j <br /> BILL To <br /> N srz::Yos '� `•-f <br /> � oescarrrnan4 <br /> C RETE 3 PER YO f ' <br /> S Aluoutar f f ✓ <br /> v TRFj�Tm"'°°° <br /> saNOTES <br /> C7 AZR <br /> a .uocE <br /> ❑AseESToS f r <br /> r ❑fYOIY,FAIAE"A56ESTOS <br /> C3 AArr. . _ _ ... <br /> t IcN So <br /> 4810IL <br /> IRLl <br /> r ON LNDFILL <br />' ISTIN ROAD <br /> TOTAL IND. <br /> S19n8d DRNIA 95338 <br /> � t <br /> GENERATING:FACIkl ,-..........w y _ /moi 98 PHONE <br /> IN ... <br /> -� <br /> At1009 FAX <br /> s� `G t C 1�-^r � � r '`'tea <br /> NAME NOTES - TRUCK:NUMBER: <br /> -... �_ .� <br /> 1� <br /> C1TYr STATE;ZlP' <br /> PHONE - - - _ EVD DUMP- BOTTOMDUMP TRANSFER. <br /> SIGNATUREOF AUTHORI=AGENT'OFT DRIVER w DATE_ ROLL OFF(S). FLAT-BED. VANY DRUMS_ <br /> Cl 11 El <br /> FORWARD INC. LANDFILL CUBIC'YARDS <br /> Forward shall have no obligation to accept the waste it weather or other <br /> conditions impair the sate and ettective disposal of the waste or if the waste DISPOSAL METHOD'- (TO BE COMPLETED BY FORWARD) <br /> impairs the safe and effective operation of the Landfill Forward shall use <br /> reasonable efforts ro promptly notify Disposer of its mabdity to accept the DISPOSE BIO JAERATE�S=M-U -OTHER <br /> waste for any reason it Forward s refusal to accept the waste is based on <br /> weather or other site conditions.Forward shall notify the Disposer wnen site SOIL <br /> conditions are expected to change such that Forward will he able to accept <br /> 46 the waste ❑ SLUDGE <br /> REMARKS <br /> ■ r� NON-FRIABLE <br /> --� ASBESTOS <br /> FACLFrY TICKgKUMgER <br /> ,N j El WOOD <br /> SIGNAT�IR�o11 AuTH6RIZED7 AGEIN_F ; DATE <br /> ASH=C1 OTHERr <br /> ` � t <br /> e <br /> SCHEDULING MUST BE MADE PRIOR,,TO 4 00 P M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> :uBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> SCHEDULE CALL (209) 982-4298 <br /> - _-- MANIFEST ?* 26144 <br />