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,-t NON-HAZARDOUS WASTE MANIFEST <br /> FORWARD- <br /> �+b INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY <br /> -JOB ACCEPTANCE NO. s pp N - <br /> GENERATOR __ '-_ REQUIRED PERSONAL PROTECTIVE EQUIPMENT _ <br /> Nelson - -- - -_ ,_ _ - ❑GLOVES ❑GOGGLES : RESPIRATOR ❑HARD HAT <br /> MAILING ADDRES� - ❑TY VEK ❑OTHER _ <br /> _P.O., Box-29 - �-- --~ - --- "-"- -- SPECIAL HANDLING PROCEDURES <br /> CITY STATE,ZIP <br /> Ri ,-CA 95355- <br /> _,209-_466='2884___,____ <br /> S3l55_.209-46fi=2884___,____ <br /> CONTACT PERSON r " <br /> RIISS NPJ SOI-_" <br /> SIGNATURE OF AUTHORIZED AGENT Y T{TLE _ DATE <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE - - <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC 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 /> Nelson Ready Mix Concrete Plant ' <br /> 22700 S. Hwy 99 1/I 2 0 9 982- 1009 FAX <br /> Ripon, CA 95366 <br /> NAME -,__ <br /> NOTES- TRUCK NUMBER <br /> RichHamiln_TruckingAV _ _ 24vo fG�I0 NUMBER_ <br /> ADDRESS <br /> 1217 S. 7th_St. <br /> •_CITY,STATEZIP __ <br /> bkxo _-sto,_CA--95351 <br /> PHONE _ -- -- _ - - - _ _ _ END DUMP ; BOTTOM DUMP _ TRANSFER <br /> 209-578-4100-- 0 --- <br /> SIGNATURE OF-AUTHORIZED-AGENT OR DRIVER_ DATE _ - ROLL-OFFS) FLAT-BED-T VAN - D_RUMS <br /> * - - -Y - - 8-11-99 ❑ 11 El El <br /> FORWARD INC. LANDFILL - - CUBIC YARDS <br /> Forward shall havef no obligation to accept the waste if weather or other f <br /> conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL METHOD (TO BE COMPL�MD_ Y 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 OIL r <br /> ' conditions are expected to change such that Forward will be able to accept <br /> the waste ❑ SLUDGE _ <br /> REMARKS — <br /> �--a- -__ - -- -- - - NON-FRIABLE <br /> FACILITY TiGKET NUM6ER_ _� ._ _ _ _—_ _ ❑ ASBESTOS <br /> - ---�,�. _ _- - - _ ---- —_ -� ❑ WOOD - - <br /> r „ _ <br /> - SIGNATURE OFAUTHOR1ZEp AGENT -V_ _ DATE <br /> [I ASH <br /> 7�C ❑ OTHER - <br /> SCHEDULING MUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED COADS ARE <br /> SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THEDAY BEFORE <br /> TO SCHEDULE CALL(249)982-4298 ,E MANIFEST# D C O <br /> ,43ENERATOR COPY , <br />