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FORWARV NON-H DOUS WASTE MANIFEST <br /> b <br /> INCORPORATED WASTE TRE . MENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO, -} 648711. 1 <br /> GENERATOR w REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> Stockton P4&olewn Company_ _ �' _ - __ -T GLOVES [:]GOGGLES ❑RESPIRATOR HARD HAT <br /> MAILING ADDRESS _ NTY-VEK ❑OTHER <br /> 1943 Navy Dnve _ _ SPECIAL HANDLING PROCEDURES <br /> CITY,STATE,ZIP t <br /> gtoddon•CA95246_ <br /> - PHONE <br /> (209)4627.8M <br /> WNTACT PERSON <br /> lay Mc>lth l <br /> SIGNATU9 OF AUTHORIZED AGENT %TITLE DATE E <br /> ■■ ' �` 414 -_4vlt ` ! <br /> WASTE_YP ., RECEIVING FACILITY f <br /> t r - <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 /> GENERATING FACILITY <br /> _ _ _ _ (209) 982-4298 PHONE <br /> '3304 ed Latae,S tocldm CA <br /> (209) 982- 1009 FAX <br /> NAMEr -,�4,0 A 11-_z ' _ _ ' ___ _ _ _ TRACTOR LIC # TRUCK NUMBER <br /> qoq <br /> *ADDR S;B,z '� � _ -, TRAILER LCC # <br /> • CITY,STATI=, ZIP _ TRAi XER LI GB# <br /> • 'PHON " t�:'?A ','4- r _ W _ - END DUMP_ BOTTOM DUMP TRANSFE <br /> 51G,VAT1_!R ,TAUT Ep AGENT OR DRIVER DATE � FtOLL-OFF(S) FLAT-BED VAN DRUMS <br /> �* ❑ ❑ ❑ ❑ <br /> `FORWARD INC. tAND'FILL <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 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 __Or 810 I AERATE STOCKPILt OTHER <br /> waste for any reason If Forward's refusal to accept the waste is based on <br /> weather or other site conditions,Forward shall notify the Disposer when site/ OIL <br /> • conditions are expected to change such that Forward will be able to accept/ <br /> the waste r _�- ❑ SLUDGE <br /> _REMARKS <br /> • m ❑ NON-FRIABLE <br /> = - --- -- - -- - ASBESTOS <br /> FACILITY TICKET NU ,BER"' ..._ _ .._ _ <br /> WOOD 1A <br /> ___ _ mm - ❑ <br /> SIGNATYRU OF AUTH _ 6—A— T <br /> ❑ ASH <br /> ❑ OTHER <br /> SCHEDULING MUST BE MADLPRIOR TO 4 0 P M THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL UPONL O ING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> TO SCHEDULE CALL(209)9 GENERATOR COPY 6�4 <br /> F01(G9511NH)6 88 MANIFEST # C , <br /> 4 � <br />