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NON-HAZARDOUS WASTE MANIFEST <br /> FORWARD <br /> INC OR P O R A T E D - WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. $,� - 600 <br /> GENERATORr x _ _ _ - REQUIRED PERSONAL P�iOZECTIVE EQUIPMENT_ <br /> SQp _ <br /> [-]GLOVES Q GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> _NelM_AIL_ING_ADDR_ESS - ---� W --- - ❑TY-VEK [:]OTHER <br /> SPECIAL HANDLING PROCEDURES <br /> CITY,STATE,ZIP _-�-- <br /> • Ripon, GA 9.5356 <br /> PHONE <br /> f 209,456-28U <br /> CO_NTACT PERSON <br /> -Russ-Nelson <br /> SIGNATURE OF AUTHORIZED AGENT/TITLE <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ■ ❑ TREATMENT SOIL E] NON-FRIABLEASBESTOS - FORWARD INC LANDFILL <br /> • ❑�DISPOSAL SOIL ❑ WOOD - 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY _ _ __ T__- __ _ (209) 982-4298 PHONE <br /> Nelson Ready MIX Concrete dant _ (2 0 9) 982-1009 FAX <br /> 22700 S. Hwy 99 _ <br /> Ripon, CA 95366 <br /> NAME — TRUCK NUMBER <br /> Rich, Hamilton--Trucking- <br /> ADDRESS <br /> .Trucking- �- __-- _ --- __-- -- ��►�/ �// %�y� _ _ <br /> ADDRESS <br /> 12-17-S.-7th Street- <br /> CITY,-STATE, <br /> . _ ZIP_ <br /> -Modesto, CA_95351 - <br /> PHONE END DUMP_ BOTTOM DUMP TRANSFER <br /> 209-57-8-Al 00 - 9 -_ � ❑ __- - ❑u w <br /> SIGNATURE OF AUTHORIZE AGENT ORD R DATE ROLL-OFFS) FLAT--BED VAN — DRUMS <br /> — -- ---- - - - - �8-11-99 - -- ❑ ❑ �❑ ❑ <br /> FORWARD INC. LANDFILL - - cUBIc YARDS - <br /> Forward shall have no obligation to accept the waste if weather or other r <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 BI_OA AERATE STOCKPILE OTHER_ <br /> waste for any reason If Forwards 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 /> ■ - - --- - — -- - - _ — ❑ NON-FRIABLE <br /> _ ASBESTOS <br /> FACILITY_TICKET NUMBER <br /> - - --- - _.. [] WOOD , <br /> JSGNA�TUREOF AUTHORIZED AGENT-- DATE T — <br /> - ASH <br /> f I ❑ 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 MANIFEST# 76559 <br /> GENERATOR COPY <br />