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NON-HAZARDOUS WASTE MANIFEST <br /> FORWART).-­� '- - WASTE TREATMENT AND DISPOSAL FACILITY <br /> t►�O INCORT-- RATED <br /> 'SOB AdCEPTANCE N0. -J <br /> 'COQ r <br /> F <br /> MIF <br /> GENERATOR _ - _ _ I�EQUUII �D PERSONAL PROTEC-UV EQUIPMENT <br /> ❑GLOVES -[]'605 GGLES ❑RESPIRATOR �,❑HARD HAT <br /> ❑TYVEK ❑OTHER - <br /> 'MAILING <br /> SPECIAL HANDLINGPROCEDURES <br /> C#TY $7ATEr ZIP - <br /> Ri ,- C.A._9536�`= <br /> PHONE — -- - - -- -- - - <br /> 2U9,466-2884~ ,- <br /> CONTACT PERSONRuss-Nelson- <br /> SIGNATURE <br /> ulss Nelson_SIGNATURE OF AUTHORIZED AGENT/ TITLE DATE - - <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 /> ❑ CONSTRUCTION SOIL _ ❑ ASH <br /> y ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> Nelson Ready Mix Concrel: Plant 209) 982- 1009 FAX <br /> 22700 S. 7th Street <br /> Ripon, Ch -95366 <br /> NAME_ _ - --_ _ r _ ---- - _-- NOTES ,/- _ _—_— - TRUCK NUMBER_ <br /> Rich_Hamilton Trucking - �___ s - - - - -- - ,�4•�d � _- � _- <br /> ADDRESS <br /> _1217 S._7th-Street- - -- <br /> . . CITY,STATE, <br /> MIdesto, -CA-95351- <br /> PHONE- END <br /> DUMP BOTTOM DUMP -TRANSFER <br /> 209578-�41 DD � -_ � -Q 11 - - El- - - <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE _ ROLL iQFF(5) FLAT-BED_ VAN _ DIly <br /> * 8-11-99 <br /> FORWARD INC. LANDFILL `- "CuaIC 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 BIO - _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 /> t conditions are expected to change such that Forward will be able to accept <br /> the waste ` - I I ❑ SLUDGE <br /> REMARKS­- _ NON-FRIABLE <br /> s� �_ _� = __ ____ ______ ❑ ASBESTOS <br /> FACILITY TICKET NUMBER <br /> ❑ WOOD <br /> SIGNATURE OF AUTHORIiED AGENT -� - DATE - <br /> — ? /-- - ❑ ASH <br /> ❑ OTHER } <br /> _ f <br /> Rod <br /> SCHEDULING MUST BE MADE PRIOR TO 4 00 P M THE DAY.PRIOR TO EXPECTED ARRIVAL C ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> To CHEDULE CALL(209)982-4298 1 1 MANIFEST # 76557 <br /> GENERATOR COPY <br />