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NON-HAZARDOUS WASTE MANIFEST <br /> FORWARD, <br /> 1 4+� INC O RP OR ATE L j' ,�,;! � � r #,3 € WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. E - 50 0 <br />.ir <br /> -1E REQUIRI�IPERSONAL PROTECTIVE EQUIPMENT - - -� <br /> Nelson-Read Mix— __ —_ : GLOVES OGOGGLES : RESPIRATOR ❑HARD HAT <br /> MAILING ADDRESS -- _ _ _-_ -- ❑TY-VEK : OTHER <br /> I?.O.-SOX,29__ SPECIAL HANDLING PROCEDURES <br /> CITY,STATE,ZIP <br /> • Ripon,Cz -95366_ ---- --___�— --- <br /> PHONE <br /> 209 466_2884 <br /> CONTACT_PERSON <br /> t SIGNATURE OF AUTHORIZED AGENT/TITLE DATE <br /> 3 <br /> r <br />' WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • ® DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> i r ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> FACILITY <br /> GENERATING <br /> G - (209) 982-4298 PHONE <br /> Nelson Ready Mix Concrete Plant (2 0 9) 982-1009 FAX <br /> 22700 S. Hwy.99 <br /> Panon CA 95366 ,� •�� <br /> NAME _ _ _ TRACTOR U # TRUCK NUMBER <br /> ( Rich Hamilton Trucking — —___-- -- — C�' __ <br /> \ <br /> _ADlDfIESS--_— -- - - - TRAILER LIC # ---- <br /> 127 S. 7th Street _� <br /> • CITU,STATES ZIP_ - - - - -- - - - _ _- ��I_# <br /> Mcdesto, CA _ 953.51 <br /> PHONE - __ END DUMP BOTTOM DUMP TRANSFER <br /> 209-5_78_-_4100_ - - - - - - - - - U 1:1- _ _- - 1:1 - - <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER ATE _ ROLL-OFFS) FLAT-BED - - VAN - DR <br /> - UMS <br /> E] El E3 <br /> 10 <br /> 7k 8-11-99 <br /> FORWARD INC. LANDFILL CUBIC YARDS <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 DISPOSAL METHOD (TO BE COMPLETED BY FORWARD) <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 BIR AERATE STOGKPIL_E _OTHER <br /> waste for any reason If Forwards refusal to accept the waste is based on <br /> weather or other site conditions Forward shall notify the Disposer when site _ OIL <br /> ' conditions are expected to change such that Forward will be able to accept <br /> the waste ❑ SLUDGE <br /> ❑ NON-FRIABLE <br /> ASBESTOS <br /> FACILITY TICKET NUMBER <br /> -- - -- ------- — - --- - -- -- ❑ WOOD <br /> SIGNATURE OF AUTHORIZED AGENT DATE - <br /> -/( <br /> -- - - -- --- - -- - -- - 1- - E] OTHER�! ❑ 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 /> FO (C9511NHI6 9B GENERATOR COPY MANIFEST# C682941 , <br />