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t <br /> NON-HAZARDOUS WASTE MANIFEST <br /> AkRD WASTE TREATMENT AND DISPOSAL FACILITY <br /> f <br /> i INCr. <br /> ' JOB ACCEPTANC NO. $�6 - D 0} ~ <br /> REQUIRED PERSONAL PROTECTIVE EQUIPMENT_ <br /> Nelson Ready Mix — } ❑GLOVES ❑GOGGLES C3 RESPIRATOR ❑HARD HAT <br /> MAILING ADDRESS _ ❑TY VEK []OTHER <br /> P.O29 <br /> . _BOX _ _ — _ _ - - SPECIAL HANDLING PROCEDURES <br /> CITY,STATE, <br /> ZIP-Ripon, CA 953-66 - --- <br /> PHONE <br /> 366 - -PHONE <br /> 209-466-2_884 <br /> CONTACT PERSON_ <br /> Russ Nefton - <br /> 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 /> • ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> Mlson Ready Mix Concrete Plant 2 0 9) 982-1009 FAX <br /> 22700 S. Hwy <br /> 99 <br /> Ripon, CA 95366 <br /> NAME NOTES TRUCK NUMBER <br /> RichHamiltonTrucking -29� z6r 64CA C /44w,*/15 —- -- —9 M1U 7- - <br /> ADDRESS - _ —_ - _ <br /> • 1217-S. 7th-Street - <br /> CITY, <br /> th_Street _CITY,STATE,ZIP <br /> Modesto,_ CA 95351 <br /> PHONE END DUMP BOTTOMDUMP TRANSFER <br /> 209-578-41 ao - - --- - - - - p _ E3 - 0____ <br /> SIGNATURE OF A THORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED_ _ VAN _DRUMS <br /> FORWARD INC. LANDFILL CUBIC 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 prompuy 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 <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 TICKET NUMBER <br /> --- - - - - ---- - - - --- ------—--- - --- - ❑ WOOD � <br /> SIGNATURE OF AUTHORIZED AGENT _ DATE _ <br /> E] ASH <br /> 7k ��� ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIORP 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 49693 <br /> MANIFEST # <br />'� GENERATOR COPY <br />