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NON-HAZARDOUS WASTE MANIFEST <br /> FWWARDWASTE TREATMENT AND DISPOSAL FACILITY <br /> 'F INC <br /> JOB ACCEPTANCE NO. 500 <br /> GENERATOR _ __ _ -� _ _—__ _ __ REQUIRED PERSONAL PROTECTIVE EQUIPMENT- ___ <br /> N� Mix <br /> [:]GLOVES ❑GOGGLES Q RESPIRATOR C]HARD HAT <br /> MAILING ADDRESS - _ __ _- _ _ --�-__ __ ❑TY VEK ❑OTHER <br /> -P.O. Box 29 _- - ---- - - - - - SPECIAL HANDLING PROCEDURES <br /> CITY,STATE,ZIP <br /> • ,NE -M 95366 <br /> PHO - <br /> 209-4662M4 <br /> CONTACT PERSON <br /> son- <br /> SIGNATURE OF AUTHORIZED AGENT/TITLE <br /> A <br /> • WASTE TYPE_ _ -- -- __-- ---- ------- _ -- RECEIVING FACILITY <br /> ❑ SLUDGE <br /> C] TREATMENT SOIL [:] NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> CONSTRUCTION SOIL E) ASH <br /> 1-1OTHER MANTECA, CALIFORNIA 95336 <br /> • GENERATING FACILITY _ _ _ —__ __ (209) 982-4298 PHONE <br /> Nelson Ready Mix Concrete Plant (2 0 9) 982- 1009 FAX <br /> 22700 S. Hwy 99 <br /> Ripon, CA 95366 <br /> NAME -NOTES_/_ _ — _ __ _ _TRUCK NUMBER <br /> Rich-H=ilton Trucking <br /> ADDRESS <br /> 1217 S 7th Stmt -- - - - -- - - - <br /> . CITY,STAT ,ZIP_ A <br /> Modesto, CA 95351 - a.J <br /> PHONE vJ_ _ l_ _ BOTTOM DUMP_ TRANSFER <br /> END DUMP <br /> ` 209-578-4100 -- - ! ®- - �— - T � - <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE(� ROLL-OFF(S) FLAT-BED VAN ^__ DRUMS <br /> t * -- - --- B-14-99 ❑ ❑� ❑ El <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste if weather or other s <br /> conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL M THOD (TO BE COMPLETED BY FORWARu) <br /> impairs the safe and effective operation of the Landfill Forward shall use DISPOSE BIO AERATE STOCKPILE OTHER <br /> reasonable efforts to promptly notify Disposer of its inability to accept the _ <br /> waste for any reason If Forward's refusal to accept the waste is based on SOIL <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 - ~- -- _ _ - - - NON-FRIABLE <br /> r-- _ - _ __ ___ _ __ ❑ ASBESTOS <br /> FACILITY TICKET NUMBER _ _ _ _-_ <br /> - ---- - - - - - -- - - - ❑ WOOD _ <br /> SIGNATUR OF. UTHORIZED AGENT f w DATE <br /> _ - - --- - - - - ❑ ASH <br /> ' ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 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 BALL(209)982-4298 GENERATOR COPY MANIFEST # 49692 <br />