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FORWARld NON-HA2 OUS WASTE MANIFEST <br /> INC D R-Y O R A T ED WASTE TRENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. 64g7j,' , <br /> t <br /> ENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> Stockton Ydrmlevm Company GLOVES GOGGLES RESPIRATOR HARD HAT <br /> MAIUNG ADDRESS E] ❑ ❑TY-VEK ❑OTHER <br /> 1905 Natty Drm I <br /> CITY, STATE,ZIP~mss a f SPECIAL HANDLING PROCEDURES i <br /> • i <br /> • &kdc wm CA 9521}4 _ <br /> PHONE - - - - - <br /> 07 <br /> _CONTACT,PERSON <br /> ;mav McHr s - <br /> SIGNAI U OF AUTHORIZED AGENT/TITLE — DATE v <br /> RECEIVING FACILITY <br /> - <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • DISPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD/ , <br /> ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> IaENEF4T!NGFACILI"TY _ (209) 982-4298 PHONE <br /> 3300 West lathe,Stodilm CA ' <br /> (209) 982- 1009 FAX <br /> NAME' , r _ _ 'TRACTOR LIC # � l/�I ,-MUUCCK NUMBER <br /> �L"1��I1Ni_ _ <br /> 11/07111, -i 7 G.r- <br /> "ADDRE§S � '� - - _ - TRAILER LIC # <br /> •CITY, SfiATE,ZIP w - TRAILER LIC # <br /> PHONE' , r _ END DUMP BOTTOM DUMP TRANSFER <br /> El <br /> • . S GNR ' P AU ORIZED AGSM OR DRIVER DATE_ _ _ ROLL-OFFS) FLAT-BED ,- IA DRUMS <br /> _ PORWAR 1 N - ' w, <br /> . O :Li4NCS�IL� `' cu�lc YA s <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 (TO BE COMPLETEPFByr <br /> ORWARD) <br /> impairs the safe and effective operation of the landfill Forward shall use <br /> reasonable efforts to promptly notify Disposer of its inability to accept the 111$ 0t !O AERATE` STOCKPILE OTHER <br /> waste for any reason If Forwards refusal to accept the waste is based on -- -" _ <br /> weather or other site conditions,Forward shall notify the Disposer when site ❑ S <br /> • conditions are expected to change such that Forward will be able to accept <br /> the waste <br /> •, ��.,,,,_....�..,�._�_.,......,,_._,....� ❑ SLUDGE , <br /> REMA�iKS <br /> NON-FRIABLE <br /> "FACILITY TICKET NUMBER _ _ -" "- _ ❑ ASBESTOS <br /> _ � ___ ❑ WOOD <br /> SIGMT - - F ALITRIZED GENl'� '� °� DA �, "' _ <br /> - - -� _ _- ❑ <br /> ASH <br /> C/ [:1 OTHER <br /> SCHED G MUST BE MADE PRIOR TO Q 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> SUBJE O REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> To ECHE ULE CALL(209)982-429$ GENERATOR COPY <br /> Fo 1(G9511 NNS 8-98 <br /> .t MANIFEST # C 624678 <br /> s f <br /> r ' a <br />