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01 <br />FORWARD <br />pD • NON-HAZ&DOUA WASTE MANIFEST <br />j � . v�/� ///'7� ■ WASTE TFI�MENT AND DISPOSAL FACILITY <br />JOB ACCEPTANCE NO. 93 615 <br />GENERATOR. - REQUIRED PERSONAL PROTECTNE EQUIPMENT <br />MAILING AdDRME OF CALIF [:I GLOVES El GOGGLES []RESPIRATOR []HARD HAT <br />E]TY❑OTHER <br />!� <br />CITY, �-iAT�, APP 922021 r m �• 4 , SPECIAL HANDLING PROCEDURES: <br />Q <br />H , <br />s` <br />V <br />• PHONOUSTON. TEXAS 77292-202 <br />S¢k-4312 <br />CONT RIIS� HH.IIaFF1H, TT 4„ <br />SIGN �U U0PAl7THORIZED AGE; / TITLE DATE <br />WASTE TYPE RECEIVING FACILITY <br />TREATMENT SOIL <br />DISPOSAL SOIL <br />❑ CONSTRUCTION SOIL <br />GENERATING FACILITY <br />239 S. STOCKTON ST. <br />RIPON, CA <br />❑ SLUDGE <br />❑ NON -FRIABLE ASBESTOS <br />❑ WOOD <br />❑ ASH <br />❑ OTHER <br />NAME <br />RICH HAMILTON XRMKINN TRUCKING <br />ADDRESS <br />133c PA.ULIClE AVE. <br />CITY, STATE, ZIP <br />ODESTO,CA 95353 <br />PHONE <br />(209) 578-4100 <br />SIGNATURE OF AUTHORIZED AGENT OR DRIVER <br />DATE <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 #4 <br />TRUCK NUMBER <br />IJ � <br />END DUMP BOTTOM DUMP TRANSFER <br />11 ❑ ❑ <br />ROLL-8FF(S) . _ FLAT-BED VAN DRUMS <br />❑ ❑ ❑ ❑ <br />FORWARD INC. LANDFILL CUBICYARDS <br />Forward shall have no obligation to accept the waste if weather or other 15 C. YDS. <br />conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL METHOD: (TO BE COMPLETED <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 .810 AERATE ISTOC <br />waste for any reason. If Forward's refusal to accept the waste is based on IL <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 />REMARKS <br />.. . .... _ .... .—:. »s�. ❑ NON -FRIABLE <br />FACILITY TICKET NUMBER ASBESTOS <br />❑ WOOD <br />SIG=2%U RIZEg' GENT DATE , • <br />!/ ❑ ASH <br />* / /-/ ❑ OTHER <br />KPILEI :.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 # 14733 <br />