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C <br /> WARD NON-HA.- JOUS WASTE MANIFEST <br /> WASTE TRrATMENT AND DISPOSAL FACILITY <br /> INC. JOB ACCEPTANCE NO. - <br /> CMM 4074 <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE E 14 " .-.;. <br /> [-]GLOVES <br /> MAVI & N� 0UNDS ❑TY-VEK ❑OTTHERLES ❑RESPIRATOR []HARD HAT <br /> QrAPRT�,,PEIGHT MILE ROAD SPECIAL HANDLING PROCEDURES: .. <br /> • PH�NEI , <br /> CA 95240 <br /> CONL4ACT tE 073 <br /> SIGtQA P F AUTH`8MX07� <br /> NT/ TITLE DATE <br /> * a v3-9 <br /> WASTE TYPE RECEIVING FACILITY i,. . ,;;.' <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • © DISPOSAL SOIL ❑ ASH 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: TRUCK NUMBER'i,=x <br /> RICH HAMILTON TRUCKING 6 /, <br /> ADDRESS CJ <br /> 136 PAULINE AVE . L0AD#1 <br /> . CITVY'',STATE,ZIP - <br /> MODESTO , CA 95358 <br /> PHONE END DUMP BOTTOM DUMP TFOSFER: <br /> 209-578-4100 ❑ ❑ ❑ <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BEID, VIW., <br /> ❑ ❑ ❑ ❑ <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 COMPLEI'FD BY FORWARp) <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 POSE .BIO AERATE IS11jP011ILE OTHER}l <br /> waste for any reason. If Forward's refusal to accept the waste is based on <br /> weather or other site conditions, Forward shall notify the-bisposer when site IL <br /> conditions are expected to change such that Forward will be able to accep <br /> the waste. ❑ SLUDGE <br /> • REMARKS <br /> ❑ NON-FRIABLE <br /> ASBESTOS <br /> FACILITY TICKET NUMBER <br /> [_1WOOD <br /> SIG ^ UR F AUT1,40RIZP AGENT �� 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 CALL (209) 982-4298 _ 5 <br /> A 6 C <br /> _;�„� MANIFEST # C J 4 J <br />