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WARD <br /> NON-HAZA�OUS WASTE MANIFEST <br /> �`- , ' WASTE TREAT mENT AND DISPOSAL FACILITY <br /> INC' ' JOB ACCEPTANCE kO. <br /> GENERATOR - _, _ REQUIRED PERSONAL.PROTECFIVEEQ€JIPMENT_ <br /> T H R I i`TY O T 1,,,,C O M P ❑GLOVES [-]GOGGLES �RESPIRATOR []HARD HAT <br /> MAILING ADDRESS - r� }` ,' ' '" ❑TY-VEK [:]OTHER <br /> _ 100000 LAKEWOOD-HLVU. <br /> CRY,STATE,ZIP '- -�,-- SPECIAL HANDLING PROCEDURES <br /> DOWNEY; -CA 9024-0 -. <br /> - PHONE <br /> 310-923-9876 _ - <br /> CONTACT PEdON - - _ <br /> -PETER D; AM`ICO _�—_-- <br /> SIGNATURE OF AUTHORIZED AGENT/TITLE - DATE <br /> WASTE TYPE _ _ _ µ _ RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • Q DISPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> 1250ETY N. WILSON WAY (209) 982- 1009 FAX <br /> STOCKTON , CA <br /> NAME - _ _ - _ , , NOTES _ _ _ - --..TRUCK NUMBER <br /> RICH - HAMILTON TRUCKING hQ <br /> ADDRESS <br /> 1336 PAULINE AVE . LOAD #1 <br /> • CITY, STATE, ZIP <br /> MOnESTO , CA 95356 <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> 209-578-4100 z] ❑ ❑ <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> * �_/ _ q� ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL CUBIC 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 Forwards s refusal to accept the waste is based on SOIL I <br /> weather or other site conditions Forward shall nota the Disposer when site <br /> ' conditions are expected to change such that Forward will be able to accept <br /> the waste ❑ SLUDGE <br /> � REMARKS --- -- - _ <br /> _ _ _ ___ _ _ __ - ❑ NON-FRIABLE <br /> -- - - ASBESTOS <br /> FACILITY TICKET NUMBER - <br /> - - - - -- -- - - - - - ❑ WOOD <br /> OIGNATURE OF AUTHORIZED AGENT T DATE '� <br /> _ _ _ } - � ❑ 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),682-4298 <br /> ' MANIFEST # 27631 <br /> TRANSPORTER COPY <br />