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�,, � � NON-HAZ DOUS WASTE MANIFEST <br /> WASTE TRL, .MENT AND DISPOSAL FACILITY <br /> INE' JOB ACCEPTANCE NO. SHR - 0767 <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT - <br /> SILVA TRUCKING, INC . []GLOVES ❑GOGGLES ❑RESPIRATOR- -CHARD HAT <br /> MAILING ADDRESS - ❑TY-VEK ❑OTHER <br /> 2119 W. ALPINE AVE. SPECIAL HANDLING PROCEDURES: <br /> CITY,STATE,ZIP <br /> ' STOCKTON, CA 95204 <br /> PHONE <br /> CON�ACIREf?SOfJ 982-1114' <br /> S DAVE SILVA <br /> SIGNATURE OF AUTHORIZED AGENT/TITLE DATE <br /> WASTE TYPE f 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 /> 36 W. MATHEWS RD . (209) 982-1009 FAX <br /> FRENCH CAMP, CA <br /> NAME - - 'NOTES: TRUCK NUMBER <br /> ADDRESS HAMILTON TRUCKING � <br /> 1536 PAULINE AVE. <br /> • CITY,STATE,ZIP <br /> MDOESTO, CAS95354 <br /> PHONE END DUMP BOTTOM DUMP TRANSFER- <br /> . <br /> SIGNATURE AUTHORIZED <br /> DURE OF OAGENT OR DRIVER DATE ROLL-OFF( S). . FLAT-BED VAN DRUMS <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste if weather or other j I, <br /> conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL ME HOD: (TO BE COMPLETED BY FORWARD) <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 DISPOSE BIO AERATE STOCKPILE OTHER <br /> waste for any reason. If Forward's refusal to accept the waste is based on S IL <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 TICKET NUMBER <br /> ❑ WOOD <br /> - <br /> :IGNA E OF UTHORIZED AGENT - DATE <br /> �H RI (SCJ ASH <br /> ,y " /J" / ❑ OTHER <br /> i <br /> SCHEDULING MUST BE MADE R 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 14760 <br /> MANIFEST # <br /> TRANSPORTER COPY <br />