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FORWARD d � �� NONHAZARDOUS WASTE MANIFEST INCORPORATED u WASTE TREATMENT AND DISPOSAL FACILITY �� t ,.. JOB ACCEPTANC9 N0. %(,f — Sod �r GENERATOR __ _ _REQUIRED PERSONAL PROTECTIVE EQUIPMENT _ yelson Rea � � _ -__� 0 GLOVES ❑GOGGLES []RESPIRATOR ❑HARD HAT MAILING ADDR�S _ - _ -_ ❑TY VEK [-]OTHER P.O. �3ox29 �__ _ __ __ __ - --- -- SPECIAL HANDLING PROCEDURES CITY,STATE 4_P • RPF'# r CA_ 95555 _- — 249- 66_-28€34 CONTACT PERSON RUSg N+l sc?n __ SIGNATURE OF AUTHORIZED AGENT f TITLE- DATE 9 u WASTE TYPE - RECEIVING FACILITY ❑ SLUDGE ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL I m El DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD ❑ CONSTRUCTION SOIL ❑ ASH ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 GENERATING FACILITY — _ _ (209) 982-4298 PHONE Nelson Miady Mix Concrete Plant (2 0 9) 982- 1009 FAX 22700 S. Hwk 99AA01ESQ NAME_ TRACTOR LIC # TRUCK NUMBER Rich-Hamflto►_Trucking 7" �! nr� B �h�� = - - --f--�----- ADDRESS - -- __ - 1-- _ _-- - _ --- _ __ TRAILER LIC�� / / 1217 S, 7th Street -- -- _ _ _ _ -- - --- -- — - - - ---- -- - - • CITY STATE, mode-#p,_CA 95351_ —- - ---- - - - --- - - - - PHONE_ _ s END DUMP BOTTOM DUMP-- TRANSFER 209--5784104_ __E3_ -- -- � ---❑---- - SIGNATURE-OF AUT_ORIZED AGE I OR DRIVER DATE ,-' ROLL-OFF(S) FLAT-SED VAN DRUMS _ -- - - -— - - - 8-11-99 El ❑ — ❑ - ❑ - 1 �C FORWARD INC. LANDFILL CUBIC YARDS Forward shall have no obligation to accept the waste if weather or other conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL METHOD (TO BE COMPLETED BY FORWARD) impairs the safe and effective operation of the Landfill Forward shall use reasonable efforts to promptly notify Disposer of its inability to accept the DISPOSE BIO_ AERA1 STOCKPILE OTHER waste for any reason If Forwards refusal to accept the waste is based on weather or other site conditions,Forward shall notify the Disposer when site SOIL conditions are expected to change such'that Forward will be able to accept the waste { _ E] SLUDGE ., ` REMARKS ---- - � �- _ -.---- - -- ------ ��_- - — -- --- ---- — — - — NON-FRIABLE ❑ ASBESTOS FACILITY TICKET NUMBER _ _ _ -- - -_ ; _ -- -_ ___ ❑ WOOD , SIG NARETUOF AUTHORIZED GENT_ -_ DATE ❑ ASH ❑ OTHER SCHEDULING MUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE TO SCHEDULE CALL(209)982-4298 Fol{C95i1NH►6-96 GENERATOR COPY MANIFEST,# C 682942