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��/A ® NON HA7P ')OUS WASTE MANIFEST <br /> IYf�A WASTE TAI HENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE N0. <br /> s r� <br /> GENERATOR ;r <br /> : „f REQUIRED,P„ERSONAL PROTECTIVE 9%#RMELff.L,a <br /> 7 (E OF CALIF, I _ [:]GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> MAWtAOD ❑TY-VEK ❑OTHER <br /> pp (p� pnX 922021 �. <br /> SPECIAL HANDLING PROCEDURES: _ <br /> H d:: <br /> • PHONEOUST0�1I-xTEXAS , 292-202 <br /> -- Bg8g44,.4312 <br /> CONT RSON. +a w K N t I' <br /> RR iiMM ggHHiiFFLLEE �,� <br /> SIGN U �6F;AOTHOR2DttAG /TI LE' DATE L_ <br /> * JE <br /> )a y-A9 N <br /> ' WASTETYPE .... . _ 1.,.:;�+ ...w RECEIVING FACWTY,.a_:? <br /> ❑ SLUDGE <br /> TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • DISPOSAL SOIL ❑ WOOD gggg SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL El ASH <br /> ❑ OT HER MANTECA, CALIFORNIA 95336 <br /> • <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> 239 S. STOCKTON ST. (209) 982- 1009 FAX <br /> RIPON, CA <br /> NAME xi NOTES: . ..c . S _, :TRUCK NUMBER <br /> ADDRRICH HAMILTON X?INKZNS TRUCKING <br /> .1336 PAULINE AVE _ LOAD #,4 <br /> • CITY,STATE ZIP. <br /> MODESTO,CA 95358 <br /> PHONE -�. <-.-. "r -'� - ' END DUMP.-.,. BOTTOM DUMP - ..TRANSFER <br /> (209) 578-4100 iEl El <br /> SIGNATURE QF AUTHORIZED AGENT OR DRIVER, DATE ROLL�FF(S).'=„ FLAT-BED _ '; VAN DRUMS. <br /> / 1 ❑ ❑ ❑ ❑ <br /> CUBIC YARDS - <br /> FORWARD INC. LANDFILL <br /> -Forward shall have no obligation to accept the waste if weather or other 15 C.YDS <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 notify the Disposer when site IL <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste ❑ SLUDGE <br /> - • REMARKS '� i.:�r••r} � � ;-r -^'s .!�""4e z �z.;tq :; <br /> r _ .� .r ,..., nr_K 2..:::+:�,...�.^ <:: ✓ - ';;-+t' NON-FRIABLE <br /> ASBESTOS <br /> FACILITY TICKET NUMBER <br /> ❑ WOOD <br /> SIGNATUf3E AU RIZE GENT � <br /> /✓ r - i �� ❑ ASH <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 I MANIFEST.# 14733 <br /> l TOGNCCn OTCO nnOV <br />