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y <br /> NON-HA71DOUS WASTE MANIFEST <br /> ' WARD <br /> 'Ib <br /> WASTE TRMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. <br /> SHR — 0148 <br /> GENERATOR . REQUIRED PERSONAL PROTECTIVE EQUIPMENT: <br /> SAN FRANCISCO FRENCH DREAD []GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> MAILING ADDRESS ]TY-VEK ❑OTHER <br /> 7801 EDGEWATER DR . SPECIALHANDLINGPROCEDURES: <br /> CITY,STATE,ZIP <br /> • OAKLAND , CA 94621 <br /> PHONE <br /> 1510) 568-5511 <br /> CONTACT PERSON <br /> TOM SOLDONIA <br /> SIG MTU rE OF AUTHORIZ D AGENT(TITLE DATE <br /> *WASTYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • [v� DISPOSAL SOIL ❑ woo0 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> 1444 S . LINCOLN ST . (209) 982- 1009 FAX <br /> STOCKTON , CA 95206 <br /> s NAME NOTES: TRUCK NUMBER <br /> ADDRE CSS H HAMILTON TRUCKING <br /> 1336 PAULLNE AUE. - <br /> • CITY,STATE,ZIP <br /> ^100ESTU , CA 95358 END DUMP BOTTOM DUMP TRANSFER <br /> I • <br /> ' PHONE <br /> (209) 578-4100 Q El 1-1 - <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> i " ❑ ❑ ❑ ❑ <br /> i <br /> FORWARD INC. LANDFILL cus/lc 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 DISPOSALMETHOD: (TO BE COMPLETED BY FORWARD) <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 <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 /> ii • <br /> • <br /> the waste. ❑ SLUDGE <br /> REMARKSNON-FRIABLE <br /> ❑ ASBESTOS <br /> FACILITY TICKET NUMBER <br /> ❑ WOOD <br /> SIGNATURE OF PUTHORIZED AGENT DATE <br /> c' ASH <br /> OTHER <br /> SCHEDULING MUST BE MADE PRIO"O 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 MANIFEST # 14752 <br /> TRANSPORTER COPY <br />