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NON-HAZ DOUS WASTE MANIFEST <br /> MR W1 W- 11 <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> INC. JOB ACCEPTANCE NO. sHR — 0 67 <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> SILVA TRUCKING, INC. [I GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> MAILING ADDRESS - ❑TY-VEK ❑OTHER <br /> 2119 W. APLINE AVE. _ SPECIALHANDLINGPROCEDURES: <br /> CITY,STATE, ZIP - <br /> STOCKTON , CA 95204 <br /> PHONE <br /> (209) 982-1114 <br /> CONTACT PERSON _ <br /> DAVE SILVA <br /> SIGNATURE OF AUTHORIZED AGENT / 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 /> • <br /> GENERATING FACILITY. (209) 982-4298 PHONE <br /> 36 W. MAT-HEWS RD . (209) 982- 1009 FAX <br /> FRENCH CAMP, CA <br /> NAME ' NOTES: TRUCK NUMBER <br /> RICH HAMILTON TRUCKING —� <br /> ADDRESS <br /> 1336 PAULINE AVE. <br /> • CITY, STATE, ZIP <br /> MODESTO , CA 95358 <br /> PHONEEND DUMP BOTTOM DUMP TRANSFER <br /> (209 578-4104 _ Q1:1 11 <br /> SIG AUTHORIZED A E T OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> r~ _ ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL cuBlc YARDS <br /> Forward shall have no obligation to accept the waste if weather or other I ,S <br /> conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL METHOD: (TO BE COMPLETED BY FORWARD) <br /> impairs the safe and effective operation of the Landfill. Forward shall use 1 <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 <br /> weather or other site conditions, Forward shall notify the Disposer when _ SOIL <br /> conditions are expected to change such that Forward will be able t ccept <br /> the waste. - ❑ SLUDGE <br /> i <br /> REMARKS <br /> NON-FRIABLE <br /> ❑ ASBESTOS <br /> FACILITY TICKET NUMBER ❑ <br /> - <br /> y WOOD <br /> SIGN RFCOF VTHORIZED A ENT •DATE - <br /> / RE] SH <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 q A O <br /> MANIFEST # 14 O <br /> Tonniconorco n..ov <br />