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d .I <br /> NON-HA?AP"7US WASTE MANIFEST <br /> � - WARD c WASTE 11,1A1'N._NT AND DISPOSAL FACILITY <br /> r C. JOB ACCEPTANCE <br /> NO. <br /> GENERATOR �ia . ; ; _u s. N : :REQUIRED P_E_RSONALPR_OTEC_TIVE_EOLIIPME_N_T ;-3L <br /> MAILItfGAdDRESSE OF CALIF r ❑ ❑ <br /> GLOVES GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> 1-N ❑TY-VEK ❑OTHER . . <br /> CfTY, {�� �SX X922021-,2 , SPECIAL HANDLING PROCEDURES: <br /> • PHONyOUSTON,,TEXAS. 77292-202i-,= <br /> 17 <br /> 114 4312 <br /> CONT <br /> SIG T E�F1Al7TH0�2ED.AGENT/TITLE, _� ` DATE <br /> * I17,-IUR3 <br /> WASTE.TYPEE :'" RECEIVING,FACILITY.;,i..,: ..,.:..m�,_.�f,s:'w,...^_._.....,.6;C..,_.a.>.:.._ - f <br /> - ❑ SLUDGE <br /> TREATMENT SOIL ❑ NON,-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> DISPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASHI 9999 SOUTH AUSTIN ROAD <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY ._ . - - s. , j (209) 982-4298 PHONE <br /> 238 S. STOCKTON ST. 209 <br /> RIPON, CA 982- 1009 FAX <br /> ) <br /> E <br /> ?RUCK NUMBER <br /> RICH HAMILTON TRUCKING <br /> ADDRESS <br /> 1336 PAULINE A&VE LOAMCITY,.STATE ZIP .' , r`!+ <br /> -.. 0400ESTO,CA 95358 TRANSFER <br /> BOTTOM DUMP; s <br /> ((209) 578-4100 I yn ❑ El <br /> SIGNATURE OF AUTHORIZED AGENT Oq DRIVER DATE ROLL=DFF(S). .; a FLAY-BED , _ VAN , ;DRUMS <br /> FORWARD INC. LANDFILL cueic.YARos,_, .. <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:' ; (TOBE COMPLETED BY FORWARD) <br /> impairs the safe and effective operation of the l Landfill. Forward shall use , - <br /> reasonable efforts to promptly notify Disposer of its inability to accept the _„ _,�,,`DISPOSE '+B_LO AERATE_ STOCKPILE? -0TH_ER <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 OIL <br /> conditions are expected to change such that Forward will be able to accept . <br /> the waste: ❑ SLUDGE <br /> -FRIABLE <br /> !I ❑ ASBESTOS <br /> FACILITY <br /> ❑ WOOD <br /> SIGNATURE F. U RIZED SENT ..:; DATE <br /> G ❑ ASH <br /> ❑ OTHER ff <br /> SCHEDULING MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL o 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 MANIFEST# 14737 <br /> t <br />