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FORWARD -NON-HAZARDOUS WASTE MANIFEST <br /> `►�O I N C O R P O R A T E D _ WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. --�'�oq <br /> - <br /> GENERATORREQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> `❑GLOVES 0 GOGGLES 0 RESPIRATOR ❑HARD HAT <br /> Nelson -Ready__Hix_ <br /> MAILING ADDRESS '❑TY VEK ❑OTHER <br /> CITY, Bbx, 29-1 -- - - -� - -- �- -W--— _7 <br /> SPECIAL HANDLING PROCEDURES <br /> CITY,STATE P. _ -- -- ----- ,- --- --- - - <br /> • upon, CA 95366_---__-__ <br /> _209=-466-'28U___ <br /> CONTACT PERSON _ -< <br /> Rusa_:Nelson — _-- <br /> SIGNATURE OF AUTHORIZED AGENT/Tf LE <br /> WASTE TYPE _ _r -- Y _T __ - RECEIVING <br /> ❑ SLUDGE INC❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD V LANDFILL <br /> • [ DISPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH - 9999 SOUTH AUSTIN ROAD <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> L227;COO <br /> an Ready rix Concrete Plant 209) 982- 1009 FAX <br /> S. Hwy 99 n, CA 95366 <br /> CNAME- _ _-- _- -- ---- _ _ NOTES_ _ - -- - TRUCK NUMBER_ <br /> Rich-Hamilton Trucking <br /> ADDRESS <br /> 1217 S. -7th-Street-- <br /> CITY, <br /> . -7th_Street__CITY,STATE,ZIP _-- _ _- _ _ _ _ -- - - - - - <br /> 1�lcdesto, CA 95351 <br /> • PHONE -- <br /> _ END DUMP BOTTOM DUMP-_ TRANSFER <br /> 209--:57-8-4100--" - � - _ - - - � - <br /> SIGNATURE OF AUTHORIZE AGENT O ER DATE ROLL©FF(SL -_ FLAT-BED _VAN _ DRU S- <br /> _ _-- -- - 8-11-99 - - ❑ ❑ ❑ ❑ <br /> ID <br /> YARDS <br /> FORWARD INC. LANDFILL CUBIC UBIC_ - <br /> Forward shall have no obligation to accept the waste if weather or other <br /> copditions 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 BIO AERATE STOCKPILE 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 <br /> ' conditions are expected to change such that Forward will be able to accept , <br /> the waste - [3SLUDGE <br /> • REMARKS <br /> NON-FRIABLE <br /> &K <br /> - ❑ ASBESTOS <br /> FACIL#TY_TICKET NUMBER I - <br /> --- --r�. - ❑ WOOD <br /> SIGNATURE OF AUTHORIZED AGENT N DATE- -_ - r <br /> - - -- - -- ----- -- - ----- --- - -- - --- ❑ ASH <br /> ❑ OTHER <br /> SCHEDULING MUST 13E 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 MANIFEST # 76554 <br /> GENERATOR COPY <br />