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NON-HAZARDOUS WASTE MANIFEST <br /> ' <br /> WARD <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. <br /> GENERATOR_ _ -`�°M - J -__— __ - REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> �.�._ <br /> Nelson Read - ;__r_ ❑ [-]GOGGLES GLOVES ❑RESPIRATOR ❑HARD HAT <br /> MAILING ADDRESS ❑TY-VEK [:]OTHER <br /> P O - x9 - — - -- - -- - - - -- -- --- SPECIAL HA <br /> ZI NDLING PROCEDURES <br /> CITE,SSTA , <br /> • _tWesto,_CA--95366-- <br /> PHONE-- <br /> 209-466-2884 <br /> _95366--PHONE209-465--2884 -- <br /> CONTACT PERSON <br /> _Russ_NeLSOn__ --- <br /> SIGNATURE OF AUTHORIZED AGENT f TITLE DATE <br /> f! <br /> WASTE TYPE — -- -- — __ _ RECEIVING FACILITY-_--- <br /> SLUDGE <br /> ACILITY-___ - <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • [ DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY _ ^ — _ _ _ _ (209) 982-4298 PHONE <br /> Nelson Ready Mix Concrete Plant F (2 0 9) 982- 1006 FAX <br /> 22700 S. Hwy 99 <br /> Ripon, CA 95366 <br /> NAME _ _ __ NOTES _ TRUCK NUMBER <br /> Rich_Hamilton-Trucking -- <br /> ADDRESS <br /> 1217_S._7tb _Street _- _ _ __ <br /> . CITY,STATE=ZIP <br /> desto,_C 95351 � " <br /> 690 <br /> PHONEEND DUMP_ - BOTTOM DUMP TRANSFER <br /> 209-578-4100 -- F — -- - -- - --- --[�� _ E1_ __ ____ <br /> _ - <br /> SIGNATURE OF AUTHORIZE-AGENT O Y I _ DATE ROLL-OFFS) FLAT-BED__— VAN —DRUMS_ <br /> __ -- - - 8--11 -99 E] 1:1 1:1 ❑ <br /> FORWARD INC. LANDFILL cuBlc <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 sate 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 OIL <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 /> ` REMARKS <br /> ❑ NON-FRIABLE <br /> ASBESTOS <br /> FACILITY TICK_ET NUMBER-_ — _ <br /> - - - - —�Y— - --- -----. ❑WOOD <br /> SIGNATURE OF AUTHORIZED AGENT DATE- - <br /> - -- -- - -- ---- --------___.._._.__ -- ----_,--_ ❑ ASH <br /> ❑ OTHER <br /> SCHEDULING MUST BE MAbt PRIG 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 IMTH THE LANDFILL THE DAY BEFORE <br /> TO SCHEDUL�E CALL(209)982-4298 GENERATOR COPY MANIFEST # 49694 <br />