Laserfiche WebLink
1 <br />SINE. <br />WARD NON-HA7*DOUS WASTE MANIFEST <br />WASTE TRLIMENT AND DISPOSAL FACILITY <br />JOB ACCEPTANCE N0. s3 615 .. <br />GENERATORg� ./ <br />MAILI pp._� 7DDRNE OF CALIF. <br />CITY, STATE, 922a21 <br />PHON(�40NqAN4OF <br />USTON,,TEXAS 77292-2021 .--- <br />CONTRON312��TTSIGNA ZED AGENT / TITLE DATE <br />❑ TREATMENT SOIL <br />❑ DISPOSAL SOIL <br />❑ CONSTRUCTION SOIL <br />❑ GLOVES <br />❑GOGGLES 1. ❑RESPIRATOR ❑HARD HAT <br />❑TY-VEK ❑OTHER <br />SPECIAL HANDLING PROCEDURES: <br />I I RECEIVING FACILITY <br />❑ SLUDGE <br />❑ NON -FRIABLE ASBESTOS <br />❑ WOOD <br />❑ ASH <br />❑ OTHER <br />JG FACILITY <br />239 S. STOCKTON ST. <br />RIPON, CA <br />NAME <br />RICH HAMILTON TRUCKING <br />ADDRESS <br />132P2 PAULI-NE AVE_ <br />CITY, STATE, ZIP <br />MODESTO,CA 95352 <br />PHONE <br />578-4100 <br />OF AUTHORIZED AGENT <br />DRIVER f DATE <br />lid-r��-q � <br />FORWARD 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 <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 <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 <br />conditions are expected to change such that Forward will be able to accept <br />the waste. <br />REMARKS <br />FACILITY TICKET NUMBER <br />SIGNATURE0 AUTHORIZED AGEN DA <br />lii`� <br />FORWARD INC. LANDFILL <br />9999 SOUTH AUSTIN ROAD <br />MANTECA, CALIFORNIA 95336 <br />(209) 982-4298 PHONE <br />(209) 982-1009 FAX <br />NOTES . w <br />LOAD 142 <br />END DUMP <br />1 <br />ROLL -OFFS) <br />TRUUCK NUMBER <br />I <br />IMP TRANSFER <br />VAN DRUMS <br />❑ ❑ <br />UISHUSAL THOD: -. (TO BE COMPLETED BY FORWARD) <br />- ISPOSE BIO, AERATE STOCKPILE .OTHER <br />O <br />OIL <br />❑ SLUDGE <br />❑ NON -FRIABLE <br />ASBESTOS <br />❑ WOOD <br />AS <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 14731 <br />MANIFEST # <br />