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FOR WARD • o NON HAA DOUWASTE MANIFEST <br />• WASTE TR MENT AND DISPOSAL FACILITY <br />JOB ACCEPTANCE NO. >`sa =`616 <br />GENERATOR _ <br />E.Z SERVE OF CALF <br />MAILING, ADDRESS „ <br />P.O. BOX 922021 _ <br />CITY, STATE, ZIP <br />HOUSTON, TEXAS 7729272021 <br />PHONE <br />0384-4312 <br />CONTA P RSON <br />Ea TREATMENT SOIL <br />❑ DISPOSAL SOIL <br />❑ CONSTRUCTION SOIL <br />REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br />[]GLOVES ❑GOGGLES❑RESPIRATOR E] HARD HAT <br />_!❑TY-VEK MOTHER <br />AGENT/ TITLE I DATE ' <br />❑ SLUDGE <br />❑ NON -FRIABLE ASBESTOS <br />❑ WOOD <br />❑ ASH <br />❑ OTHER <br />GENERATING FACILITY - <br />239 S. STOCKTON ST. <br />RIPON, CA <br />NAME <br />RRII[; <br />ADDRESSH HAMILTO`: TRUCKING <br />1336 PAULINE AVE. <br />CITY, STATE, ZIP <br />NODESTO,CA 95358 <br />PHONE <br />200) 578-410D <br />SIGNA URE OF AUTHORIZED AGENT OR DRIVER <br />I SPECIAL HANDLING PROCEDURES: I <br />RECEIVING FACILITY <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_ <br />LOAD #3 <br />END DUMP <br />0 <br />DATE ROLL-OFF(S) <br />❑ <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 />CUBIC YARDS <br />15 C.Y. <br />DISPOSAL METHOD: <br />IDISPC <br />❑ SLUDGE <br />❑ NUN -h HIAt <br />FACILITY TICKET NUMBER - ASBESTOS <br />❑ WOOD <br />SIGNATORE OF AUTHORIZED AGENT DATE_ <br />❑ ASH <br />fj - ❑ OTHER <br />930 <br />BOTTOM DUMP TRANSFEI <br />FLAT-BED VAN DRUMS <br />(TO BE COMPLETED BY FORWARI <br />BIO 1 AERATE ISTPCKPILEI 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 #14732 1 <br />