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WARD _ NON-HA, ',DOUS WASTE MANIFEST <br /> WASTE TRErTTMENT AND DISPOSAL FACILITY <br /> �VE. <br /> JOB ACCEPTANCE NO. <br /> CMM- 4074 <br /> GENERATOR REQUIRED PERSONAL P)iOTECTLVE <br /> ?�A <br /> KOA KAMPGROUNDS ❑GLOVES []GOGGLES []RESPIRATOR HARD HAT <br /> MAILING ADDRESS ❑TY-VEK ❑OTHER <br /> 2.851 E . EIGHT MILE ROAD SPECIAL HANDLING PROCEDURES: <br /> CITY,STATE,ZIP <br /> LODI , CA 95240 <br /> PHONE <br /> 209-941-2573 - <br /> CONTACT PERSON <br /> GLEN PULLIAM <br /> SIG OF AUTHO ENj/ 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 /> (209) 982- 1009 FAX <br /> NAME , NOTES: TRMRF <br /> RICH HAMILTON, TRUCKING 1r 3b <br /> ADDRESS7 <br /> 1336 PAULINE AVE . LOAD #2 <br /> . CITY,STATE, ZIP <br /> MODESTO, CA 95358 <br /> • PHONE END DUMP BOTTOM DUMP 4TRANSFEW <br /> 209-578-41 U El ❑ <br /> SIGNATURE OF AUT PRIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN "`ARUM$ ;M <br /> FORWARD INC. LANDFILL cuBlc 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 CF . <br /> impairs the safe and effective operation of the Landfill. Forward shall use DISPOSAL METHOD: (TO BE OMPLETED BY ORWAROL <br /> reasonable efforts to promptly notify Disposer of its inability to accept the - DISPOSE BIO AERATE IgOCKPill OTHER-,,1- <br /> waste for any reason. If Forward's refusal to accept the waste is based on OIL <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 <br /> NON-FRIABLE <br /> ❑ ASBESTOS <br /> FACILITY TICK MBER <br /> ❑ WOOD <br /> SIG OF TH Rt D AGENT / DATE <br /> ❑ ASH <br /> ❑ OTHER <br /> SCHEDULING MUST BE MADE PRI 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 CALL (209)982-4298 r T.. ry MANIFEST # C 5466 <br />