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WARD NON-HADOUS WASTE MANIFEST <br />WASTE TRLWrMENT <br />AND DISPOSAL FACILITY <br />JOB ACCEPTANCE NO. - <br />93 625 <br />GENERATOR <br />REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br />F�.D RESS E OF CALIF. _ _. <br />MAILIN <br />❑GLOVES ❑GOGGLES ❑RESPIRATOR ❑ HARD HAT <br />_ <br />[]TY-VEK ❑OTHER <br />pp n�_ RR. <br />CITY STA7�, ZI�X 922021 ,- .- <br />SPECIAL HANDLING PROCEDURES: <br />• HH_ OUSTON, TEXAS 77292-2021 <br />PHONE <br />6dSS}}4--4L31TT2SIGF!%SrNOR19DAGENT/TITLE <br />CO27, RrrS <br />DATE <br />* -ILI G-2 <br />' WASTE TYPE <br />- <br />RECEIVING FACILITY <br />❑ SLUDGE <br />El TREATMENT SOIL <br />❑ NON-FRIABLE ASBESTOS <br />FORWARD INC. LANDFILL <br />' ❑ DISPOSAL SOIL <br />❑ WOOD <br />❑ CONSTRUCTION SOIL <br />❑ ASH <br />9999 SOUTH AUSTIN ROAD <br />• <br />❑ OTHER <br />MANTECA, CALIFORNIA 95336 <br />(209) 982-4298 PHONE <br />GENERATING FACILITY - <br />239 S.STOCKTON ST. <br />(209) 982-1009 FAX <br />RIPOrN, CA <br />NAME <br />NOTES: _ TRUCK NUMBER <br />RICH HAMILTON TRUCKING <br />ADDRESS <br />1336 PAULINE AVE. <br />LOAD r6 <br />• CITY, STATE, ZIP <br />MODESTO,CA 95358 <br />PHONE <br />END DUMP BOTTOM DUMP TRANSFER <br />(209) 578-4100 <br />Q ❑ ❑ <br />SIGNATURE O,fV�AUTHORIZED AGENT OR DRIVER DATE <br />ROLL-OFFS) FLAT-BED VAN DRUMS <br />❑ ❑ ❑ ❑ <br />CUBIC YARDS <br />FORWARD INC. LANDFILL <br />Forward shall have no obligation to accept the waste if weather or other <br />15 C. YOS <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 />DISPOSAL METHOD: (TO BE COMPLETED BY FORWARD) <br />reasonable efforts to promptly notify Disposer of its inability to accept the <br />_ <br />- DISPOSE BIO AERATE STOCKPILE OTHER <br />waste for any reason. If Forward's refusal to accept the waste is based on <br />-" <br />weather or other site conditions, Forward shall notify the Disposer when site c <br />conditions are expected to change such that Forward will be able to accept <br />❑ SLUDGE <br />• the waste. _ _ _ <br />REMARKS- <br />❑ NON-FRIABLE <br />.. ..:- .� ._ <br />FACILITY TICKET NUMBER <br />ASBESTOS <br />❑ WOOD <br />SIGNATt f -q OF A HORIZED AGEN DATE <br />❑ ASH <br />* / <br />- <br />❑ OTHER <br />SCHEDULING MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO <br />EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br />SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST <br />BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br />TO SCHEDULE CALL(209)982-4298 <br />MANIFEST # 14735 <br />