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�„ �iyD NON-HAL 3DOUS WASTE MANIFEST <br /> �l�/ WASTE TRL,,MENT AND DISPOSAL FACILITY <br /> INC JOB ACCEPTANCE NO. -sHR - -0767 <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> SILVA TRUCKING, INC . ❑GLOVES ❑GOGGLES ❑RESPIRATOR []HARD HAT <br /> MAILING ADDRESS - ❑TY-VEK [-]OTHER <br /> 2119 IA. ALPINE AVE. SPECIAL HANDLING PROCEDURES: <br /> • CITY,STATE,ZIP <br /> • STOCKTON , CA 95204 <br /> PHONE <br /> (209) 932-1114 <br /> CONTACT PERSON <br /> DAVE SILVA <br /> SIGNATURE OF AUTHORIZED AGENT / TITLE DATE <br /> .. * y, =k.,c_ <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> F-1TREATMENTSOIL F-1NON-FRIABLEASBESTOS FORWARD INC. LANDFILL <br /> • ®XDISPOSALSOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> • ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> • GENERATINGFACILITY (209) 982-4298 PHONE <br /> 36 W. MATHEWS RD . (209) 982- 1009 FAX <br /> FRENCH CAMP, CA <br /> NAME "' ' NOTES: - TRUCK NUMBER <br /> RICH HAMILTON TRUCKING <br /> ADDRESS CD <br /> 1336 PAULINE AVE . <br /> • CITY,STATE,ZIP <br /> MODESTO , CA 95358 <br /> PHONE .END DUMP - BOTTOM DUMP TRANSFER <br /> (209) 578-4100 Q ❑ ❑ <br /> SIGNATURE OF AUTHORI1P AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> ❑ ❑ ❑ ❑ <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 DISPOSAL METHOD:" (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 <br /> weather or other site conditions, Forward shall ratify the Disposer when site <br /> conditions are expected to change such that Forward will be able to accep <br /> • <br /> the waste. ❑ SLUDGE <br /> REMARKS <br /> " ❑ NON-FRIABLE <br /> ASBESTOS <br /> FACILITY TICKET NUMBER - <br /> ,i ❑ WOOD <br /> SIG UF}ElOF .UiTHORIZED AGENT _ DATE ... <br /> CVJ �V//'``^ - ASH <br /> - v- v�. - ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR T 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 14766 <br /> MANIFEST # <br /> TRANSPORTER COPY <br />