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FORWARD NON-HAZARDOUS WASTE MANIFEST <br /> iD I N C O R P O R A T E D WASTE TREATMENT AND DISPOSAL. FACILITY <br /> JOB ACCEPTANCE NO. - 1491 <br /> GENERATOR - _ _ DfER.SONAL 9OTECTNE EQUPMM <br /> IENT <br /> $aTr s_Au t O^__ _ _ __ ___ �� T GLOVES ❑GOGGLES ❑RESPIRATOR f]HARD HAT <br /> MAILtIVt?ADDRESS�- _�------_-�__,- - ❑TY-VEK ❑OTHER <br /> 2662_N. W11SOIl-ii�ay_ -- _ _ _ - SPECIAL HANDLING PROCEDURES <br /> ockton,_ CA 9520 _ _ ___ _ None <br /> PHONE <br /> (209)838-9888 -_ _ -- - ---- ---_ _ _� <br /> CONTACT PERSON _- -- _- _ --- _ ----- _ <br /> arr s Auto_ <br /> SIGNA -AGENT/TITLE_ DATE <br /> ,. ntractor 1/15/02 pCC+cIaW <br /> ❑ SLUDGE <br /> Q TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL- <br /> [3 <br /> ANDFILL[3 DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> E] CONSTRUCTION SOIL ❑ ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING-FACILITY _ � _ ��_ _ (209) 982-4298 PHONE <br /> arrys Auto (209) 982- 1009 FAX <br /> 662 N. Wilson Way <br /> to nn - rA <br /> NAME NOTES ~ TRUCK NUMBER <br /> pe_ <br /> im_ Thor _ <br /> AnDRESS - <br /> . .O. Box 3.37 7q- --��. i , <br /> odi, CA 95241-0357 <br /> PHONE-- ___ _ _�---- �—�_ __- �— 'END-DUMP �___ BOTTOMDUMP - -TRANSFER- <br /> (209)3fi$-6175...____ �� ❑ ❑ <br /> SIGNATURE OF AUTHORIZED AGENT OR URNERw- DAT'E _-"- , ROLL-OFF{S) r_ SLAT SED _ _VAN DRUMS-- <br /> 11 <br /> RUMS- <br /> FORWARD INC. LANDFILL � ' J--- - - - --- - - <br /> Forward shall have no obfxgabon to accept the waste rf weather or other 4 <br /> conditions impair the safe and effectnre disposal of the waste or d the waste DISPOSALSHOD: (TO BE COMPLETED BY FORWARD) <br /> empars the safe and effective operation of the Landfill Forward shall use 0 _ <br /> reasonable efforts to promptly notify Dmposer of ds mabdrty to accept the t31 ���_— OTk�R__ _R <br /> waste for any reason If Forward's refusal to accept the waste is based on <br /> weather or other site conditions,Forward shall notdy the Disposer when We ❑ SOIL <br /> conddK= are expected to change such that Forward will be able to accept <br /> the waste ❑ SLUDGE <br /> • REMARKS-- - - , <br /> ❑ NON-FRIABLE <br /> I=ACILIT1f TICKED_, UMBER — _ � --- AssESTos <br /> - ❑ WOOD <br /> SIGNP►TURE F AG_ENT <br /> ��•�` ,�-�7 ❑ ASH <br /> + ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4 OQ P.M THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DRAY BEFORE <br />_ TO SCHEDULE CALL(209)982-4298 f MANIFEST# 128702 <br /> GENERATOR COPY <br />