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(&- FORWARIO NON-HAZ►&OUS WASTE MANIFEST <br /> INCORPORATED - WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. ' <br /> } <br /> ENERATOR - REQUIRED PERSONAL. PROTECTIVE EQUIPMENT <br /> Stockton P*Qletzin Company _ � � _ _ _T _ FZiGLOVES [-]GOGGLES ❑RESPIRATOR (RHARD HAT <br /> MAIEING•ADDRESS TY-VEK [:]OTHER <br /> CITY, <br /> Navysw D ve <br /> p'_ _ SPECIAL HANDLING PROCEDURES <br /> CITY,STATE, 7.IP' °_- 'T - <br /> PHONE _..�.. --- - ---- - -- ------ _ - <br /> • _r <br /> - �-117._..._ <br /> ONQ9 AGT PERSON <br /> Jaayy Mcamth <br /> =SIG,NATU F'AUTHORIZED AGENT%TITLE DATE <br /> WA E YP RECEIVING FACILITY „ <br /> i <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • E] DISPOSAL SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> E] CONSTRUCTION 5011, ASH <br /> ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> l <br /> GENERATING FACILIITY�,, _ (209} 982-4298 PHONE <br /> 3300 West Lase,Stockton,CA <br /> (209) 982- 1009 FAX <br /> r, <br /> r <br /> ME -`- --- TRACTOR LIC # TRUCK NUMBER <br /> 1.�� 4Mf rf�rric. ?�f�: P y«may j <br /> ADDRESS _ - TRAILER L! # <br /> • • _ -14- 1 k T-"k" _ G7` �✓ 14 0113 <br /> TRAILERmaps L! # <br /> _ 7G7v_d <br /> PHOTE � <br /> END DUMP BOTTOM DUMP TRANSFER <br /> ' <br /> SJGNATL�,R .- rvTHORIZ �G�NT OR DRIVER DATE ROLL-aFF(S)' FLAT BI~D VAN DRUMS <br /> _17:1Z 11 El El El <br /> bRWARD-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 BE COMPLETED BY FORWARD) <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 ©IS S BIO _ AERATE ISTOCKPILEI OTHER E <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 ❑ SOIL <br /> • conditions are expected to change such that Forward will be able to accept <br /> the waste LUDGE <br /> I#EM <br /> + ❑ NON-FRIABLE <br /> FACILITY TICICT NUMBER _ _ - "J""T ASBESTOS r , <br /> ❑ WOOD <br /> $IGNATU1 EOR UTHORIZED AGENT ❑ ASH <br /> 17] OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL a ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE) <br /> - '-nEILE CALL (209)982-4298 GENERATOR COPY MANIFEST # <br /> %__- 1 r _ • -_� <br />