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A [ WARD1 NWASTE WASTE MANIFEST <br />Iv�- WASTTE T ATMENT AND DISPOSAL FACILITY <br />JOB ACCEPTANCE N0. - <br />VuvcnHl urc REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br />MAILI<JU AbDRESSE OF -CALIF. ---- -._ --- []GLOVES ❑GOGGLES ❑RESPIRATOR E] HARD HAT <br />- <br />CITY-VEK ❑OTHER <br />Lr f7AlE ASX 922021 71 SPECIAL HANDLING PROCEDURES <br />HH - <br />'HONEGUSTON, TEXAS -77292-2021 <br />CONTp� TrF�E`_RS"9'_ �!! FFTTS <br />SIG AT EJ6F/�Al]TFT61 I& AGENT/ TITLE DATE <br />[]} TREATMENT SOIL <br />[7 DISPOSAL SOIL <br />❑ CONSTRUCTION SOIL <br />239 S. STOCKTON ST. <br />RIPOPJ, CA <br />❑ SLUDGE <br />❑ NON -FRIABLE ASBESTOS <br />❑ WOOD <br />❑ ASH <br />❑ OTHER <br />FORWARD INC. LANDFILL <br />9999 SOUTH AUSTIN ROAD <br />MANTECA, CALIFORNIA 95336 <br />(209) 982-4298 PHONE <br />(209) 982-1009 FAX <br />NAME NOTES: <br />ADDRES CH HAINILTON TRUCKING <br />1336 PAULINE AR`JE. LOAD#B <br />CITY, STATE, ZIP <br />PHONE <br />MCDESTO,CA 95353 <br />END DUMP <br />UMP <br />57- <br />SIGNATURE209) OF AU8THORI4100ZED AGENT OR DRIVER DATE ROLL9F(S) <br />El.1 <br />*`�\,�`J�� <br />FORWARD'/NC. 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 />-FLAT-BED❑ VAN <br />❑ ❑ <br />CUBIC. YARDS <br />15 C. YOS <br />DISPOSAL METHOD: (TO BE COMPLE <br />IDISPOSEI BIO I AERATE <br />❑ SLUDGE <br />❑ NUN-FHIAE <br />FACILITY TICKET NUMBER ASBESTOS <br />_ <br />SIGNATURE F U ORIZED ENTEl WOOD <br />, !` DATE <br />G ❑ ASH <br />7 / ❑OTHER <br />JCK NUMBER <br />DRUMS <br />El <br />BY FORWARD) <br />!PILE[ ..OTHER <br />,uNLUULING 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 # 14737 <br />