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.�,. W(J�� NON-HAZ ,DOUS WASTE MANIFEST <br /> Fi'��l RD - WASTE TRERfMENT AND DISPOSAL FACILITY <br /> /NC. JOB ACCEPTANCE N0. <br /> SHR _ o7s:7 <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> SILVA TRUCKING, INC. EI GLOVES ❑GOGGLES ❑RESPIRATOR E]HARD 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 /> (209) 8982-1114 <br /> CONTACT PERSON - <br /> DAVE SILVA <br /> SIGNATURE OF AUTHORIZED AGENT / TITLE DATE <br /> S// f "M/3 <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 /> • GENERATING FACILITY .. (209) 982-4298 PHONE <br /> 36 W. MAT14EWS RD . (209) 982- 1009 FAX <br /> FRENCH CAMP , CA <br /> NAME - NOTES: TRUCK NUMBER <br /> RICH HAMILTaN TRUCKING ! * <br /> ADDRESS J O <br /> 1336 PAULTNE AVE. <br /> • CITY,STATE,ZIP <br /> MODESTO , CA 95358 <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> (209 578-4100 El ❑ <br /> SIGNATURROF AUTHO 2�VD AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS. <br /> ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste if weather or other t <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 610, 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 acc <br /> • the waste. ❑ SLUDGE <br /> • <br /> REMARKS <br /> ❑ NON-FRIABLE <br /> FACILITY TICKET NUMBER ASBESTOS <br /> / ❑ WOOD <br /> SIGNATUR OF A_UTH IZED AGENJDATF� , <br /> / � H <br /> I 1 OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4:90 PW. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL UPON ARRIVAL.ONCOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> TO SCHEDULE CALL (209)982-4298 14764 <br /> MANIFEST # <br /> TRANSPORTER COPY <br />