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NON-HCA17- lUS WASTE MANIFEST
<br /> )r WAR ; ." . . WASTE T*ATMENT AND DISPOSAL FACILITY
<br /> JOB ACCEPTANCE N0. s3 t GSS off ti F ',
<br /> GENERATOR _ ; REQUIRED PERSONAL PRO_TEC_TI_VE__E_ QUIPMENT,, ,*
<br /> ....�[.awa...mi.a:+f.uS L....0..Li .:..1..11�....::wl... ..-..-.....- .-.. �
<br /> E []GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD HAT
<br /> �E OF CALIF q
<br /> MAILI D ,.-.,.�.�,s+�< -�•�.c;.;.`..p�s.. ._ .._, t ".'' ❑TY-VEK ❑OTHER
<br /> CITY gta4� ��( •922021 , : r Y .•« .;� SPECIAL HANDLING PROCEDURES:
<br /> • lEiOUSTON, , TEXAS 77292 2021 ,
<br /> PHON .._....�::;.3..�.......—.K.-.-�f t ,_...-,; Y y .s..,e..: , . ,r•�.k��
<br /> CONTRCT $ON4312 r s - s e'r'
<br /> ...." k AUTR� 2ED AGENT,/TITLE , ; DATE
<br /> 93 1
<br /> WASTE TYPE A RECEIVING FACILITY '. :
<br /> z,.. ,.
<br /> ti r_
<br /> ❑ SLUDGE
<br /> TREATMENT SOIL - ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL
<br /> • DISPOSAL SOIL ❑ WooD 9999 SOUTH AUSTIN ROAD
<br /> ❑ CONSTRUCTION SOIL 171 ASH'
<br /> •• ❑ OTHER MANTECA, CALIFORNIA 95336
<br /> e
<br /> GENERATING FACILITY .' (209) 982-4298 PHONE
<br /> 239 S. STOCKTQN ST. (209) 982- 1009 FAX
<br /> RIPON, CA
<br /> f
<br /> NAME NOTES_ .th•,_,,z.,, �. ..•<TRUC_K NUMBER
<br /> RICH HAMILTON TRUCKING
<br /> ADDRESS,_ -.
<br /> 1336 PAULINE AVE . LOAD N2
<br /> CITY,STATE ZIP.,.::•.-... ,,.-
<br /> MODESTO,CA . ,95358
<br /> PHONE END DUMP BOTTOM DUMP TRANSFER
<br /> � .. ....
<br /> SIGN A UR OF AU THOR�ZED'AGENT OR_DRIVER. DATE ROLL4FF(S)'' F[ T B@D & VAN DRUMS
<br /> �'. 'El El
<br /> El
<br /> FORWARD NC. LANDFILL
<br /> Forward shall have no obligation to acceptl the waste if weather or other f
<br /> conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL PtETHOD_, .{TO BE COMPLETED BY FORWARD)
<br /> impairs the safe and effective operation of the Landfill. Forward shall use ":.
<br /> reasonable efforts to promptly notify Disposerkof its inability to accept the �.. atl DISPOSE 610, , AERATE STOCKPILE '.OTHER
<br /> waste for any reason. If Forward's refusal to accept the waste is based on O L
<br /> weather or other site conditions,Forward shall°notify the Disposer when site U-S
<br /> conditions are expected to change such that Forward will be able to accept
<br /> the waste ❑ SLUDGE
<br /> REMARKS y 1{n�,C �.. �•
<br /> y 3 s e v,rY •w "- NON-FRIABLE
<br /> ,�, r^• fa.. ,1,,;. ❑ASBESTOS
<br /> FACILITY TICKET NUMBER y
<br /> ,. ❑ WOOD
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<br /> SIGNATURE 0 „AUTHORIZEDAGEN DATE , :.,
<br /> ❑ ASH
<br /> L�. /� / ❑ OTHER
<br /> LAE
<br /> n 12
<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 # 14731
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