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4 <br />WARD • <br />JOB ACCEPTANCE NO. <br />NON-HAZ"DOUS WASTE MANIFEST <br />WASTE TR ENT AND DISPOSAL FACILITY <br />UtNtHAIUH - ;.:. .;.- I .11. 1.1r1 ___ ._ ._ <br />SIGNFdRE TF AUTHORIZED AGENT / TITLE DATE <br />WASTE TYPE <br />Ey TREATMEN <br />❑ <br />LlCONSTRUC <br />_I <br />❑ SLUDGE <br />T SOIL El NON -FRIABLE ASBESTOS <br />DISPOSAL SOIL ❑WOOD <br />TION SOIL ❑ASH <br />FACILITY <br />239 S. STOCUON ST. <br />RIPON, CA <br />❑ OTHER <br />GLOVES ❑GOGGLES <br />TY-VEK F—IOTHER <br />SPECIAL HANDLING PROCEDURES: <br />FACILITY <br />✓ICIV I <br />❑HARD HAT <br />FORWARD INC. LANDFILL <br />9999 SOUTH AUSTIN ROAD <br />MANTECA, CALIFORNIA 95336 <br />(209) 982-4298 PHONE <br />(209) 982-1009 FAX <br />NAMENOTES:NOTES: TRUCK NUMBER <br />ADDRESSH HAMILTON TRUCKING — 9 3 �D <br />R;�R PAULINE AVE. LOAD #1 <br />CITY, t, ZIP <br />PHONE END <br />95358 <br />END DUMP_ BOTTOM DUMP TRANSFER <br />(209) 578-4100 Q 1:1 11 <br />SIGNOF AUTHORIZED AGENT OR DRIVER JDATE ROLL-OFF(S) FLAT-BED VAN DRUMS <br />�r I r )� IiL 7 3 ❑ ❑ ❑ ❑ <br />FORWARD INC. LANDFILL CUBIC YARDS <br />Forward shall have no obligation to accept the waste if weather or other 19 r <br />conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL METHOD: (TO BE COMPLETED BY FORWAR[ <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 DISPOSE BIO - AERATE STOCKPILE OTHER <br />waste for any reason. If Forward's refusal accept the waste is based on ry,G <br />weather or other site conditions, Forward shall notify the Disposer when site <br />conditions are expected to change such that Forward will be able to accept <br />the waste. _ ❑ SLUDGE <br />REMARKS3 <br />❑ NON -FRIABLE <br />+�; y+—cq. „yam ASBESTOS <br />FACILITY TICKET NUMBER ` .d3aua W;<`; <br />❑ WOOD <br />SIG==— <br />❑ASH <br />OTHER <br />SCHEDULING MUST BE MADE PRIOR TO 4:00 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 DAY BEFORE. <br />TO SCHEDULE CALL (209) 982-4298 <br />MANIFEST #14730 <br />