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NO WASTE MANIFESTF <br />FORWARD*WASTE TPWMENT AND DISPOSAL FACILITY <br />' SNC• JOB ACCEPTANCE NO. <br />GENERATOR •` ' <br />REQUIRED PERSONAL, PROTECTIVE EQUIPMENT <br />E 7 gFRVE OF CALIF. <br />❑GLOVES ❑GOGGLES❑RESPIRATOR [-]HARD HAT <br />MAILING�AaaDbJE <br />❑TY-VEK% [-]OTHERj <br />CITY, STF�7E, Zip BOX 922021 <br />SPECIAL HANDLING PROCEDURES: <br />• HOUSTON,. 9A TEXAS 77292-0021 --- <br />- PHONE .....--- <br />-. --- -- <br />TPE ON 4-4312 <br />CONTj� <br />MR. IPi SHIFLET - <br />SIGNATURE OF AUTHORIZED AGENT / TITLE DATE <br />2z <br />A <br />WASTE-TYPE <br />- <br />RECEIVING FACILITY <br />i <br />❑ SLUDGE <br />Q TREATMENT SOIL <br />❑ NON-FRIABLE ASBESTOS <br />FORWARD INC. LANDFILL <br />• ❑ DISPOSAL SOIL <br />❑ <br />9999 SOUTH AUSTIN ROAD <br />❑CONSTRUCTION SOIL <br />❑ASH ASH <br />_ <br />❑ OTHER <br />MANTECA, CALIFORNIA 95336 <br />(209) 982-4298 PHONE <br />GENERATING FACILITY - <br />239 S. STOCKTON ST. <br />(209) 982-1009 FAX <br />RIPON, CA <br />NAME <br />NOTES: .. TRUCK. NUMBER <br />RICH HAMILTON TRUCKING <br />ADDRESS <br />p�C <br />1336 PAULINIE ,AVE. <br />LOAD 13 <br />• CITY, STATE, ZIP <br />10DESFO,CA 99353 <br />'END DUMP BOTTOM DUMP TRANSFER <br />PHONE - - <br />(209) 578-4100 <br />. SIGNATURE OF AUTFfgRIZED AGE OR DRIVER DATE <br />R ❑ ❑ <br />ROLL-OFFS) FLAT-BED VAN DRUMS <br />/ <br />❑ ❑ ❑ E]�k <br />q <br />FORWARD INC. LANDFILL <br />cuBlc YARDS <br />Forward shall have no obligation to accept the waste if weather or other <br />iq r y <br />conditions impair the safe and effective disposal of the waste or if the waste <br />impairs the safe and effective operation of the Landfill. Forward shall use <br />DISPOSAL METHOD: (TO BE COMPLETED BY FORWARD) <br />reasonable efforts to promptly notify Disposer of its inability to accept the <br />_ - 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 <br />SOIL x <br />conditions are expected to change such that Forward will be able to accept <br />the waste. <br />❑ SLUDGE <br />• REMARKS <br />• <br />�. <br />NON-FRIABLE <br />❑ <br />.. <br />.. .__ .: -.,_. , .. ,:. <br />ASBESTOS <br />FACILITY TICKET NUMBER <br />�( �,�... <br />❑ WOOD <br />SIGN T RE OF AUTHORIZED AG T DATE <br />.. _ .... ._._.. .__...._. <br />❑ ASH <br />•� <br />L -� <br />OTHER <br />J <br />SCHEDULING MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO <br />EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br />SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST <br />BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br />TO SCHEDULE CALL(209)982-4298 <br />MANIFEST #14742 <br />