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WARD NON HA DOUS WASTE MANIFEST WASTEATTMENT AND DISPOSAL FACILITY Nom' JOB ACCEPTANCE NO. GENERATOR REQUIRED E.Z. SERVE OF CALIF. ❑GLOVES MAILING ADDRESS P.O. BOX 922021 - CITY, STATE, ZIP 7.SPECIAL HA HOUSTON,. TEXAS ..77292-2021 .- PHONE M TYPE ON ! SHIFLET AUTHORIZED AGENT/ TITLE (DATE vZ TREATMENT SOIL ❑ DISPOSAL SOIL ❑ CONSTRUCTION SOIL 239 S. STOCKTON ST. RIPON, CA ❑ SLUDGE ❑ NON -FRIABLE ASBESTOS ❑ WOOD ❑ ASH ❑ OTHER NAME CC ADDRR� H HAMILTON TRUCKING 1336 PAULINE AVE. CITY, STATE, ZIP MODSTO,CA 95353 PHONE Il ENT OR DRIVER DATE ❑ OTHER PROCEDURES: ❑HARD HAT FORWARD INC. LANDFILL _ 9999 SOUTH AUSTIN ROAD MANTECA, CALIFORNIA 95336 (209) 982-4298 PHONE (209) 982-1009 FAX L NOTES: LOAD #12 END DUMP BOTTOM DUMP ❑ ❑ ROLL -OFFS) = FLAT-BED VAN El ❑ FORWARD INC. LANDFILL cuelcvAROs Forward shall have no obligation to accept the waste if weather or other Ir 0 conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL ME impairs the safe and effective operation of the Landfill. Forward shall use reasonable efforts to promptly notify Disposer of its inability to accept the waste for any reason. If Forward's refusal to accept the waste is based on weather or other site conditions, Forward shall notify the Disposer when site conditions are expected to change such that Forward will be able to accept ` the waste. _ _ ❑SLUDGE REMARKS ., • - = c.• _ . .._,�__._7�� ❑ NON -FRIABLE FACILITY TICKET NUMBER """� " ' ASBESTOS ❑ WOOD SIGNAT F I ORIZ G T DATE <:- ❑ ASH - `'-' ❑ OTHER SCHEDULING MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED DD: (TO BECOMPILE SPOSEI _.BIO (AERATE • NUMBER TRANSFER El DRUMS El BY OTHER I nAn, ARF UAILT UtuvtHftS MUS F BE SCHEDUIT LED WITH THE LANDFILL THE DAY BEFORE. TO SCHEDULE CALL(209)982-4298 MANIFEST# 14741