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I' UKVVAff r,---_7 NON-HA7 A`7 OUS WASTE MANIFEST <br /> f N C O R P O R A T M 1 WASTE TF,fMENT AND DISPOSAL FACILITY <br /> ., 4613 ACCEPTANCE NO. 6aaslt <br /> GENERATOR h REQUIRED PERSONAL PROTECTIVE EQUIPMENT. <br /> GUNTERT STEEL ❑GL <br /> ovES [:]GOGGLES []RESPIRATOR ❑HARD HAT <br /> MAILING ADDRESS'E. 4TH ST. []TY-VEK []OTHER <br /> 222 E. 4 <br /> CITY,STATE,ZIP - - SPECIAL HANDLING PROCEDURES: <br /> • N RIPON, CA 95366 <br /> I PHONE <br /> 209-593-5131 <br /> CONTACT PERSON <br /> CHRIS GUNTERT <br /> SIGNATU OF AUTHORIZED AGENT/ LE DATE <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • ® DISPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> • ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> NAME - - �. NOTES: TRUCK NUMBER <br /> ICH HAMILTON TRUCKING 9 C /6Z/1{y <br /> ADDRESS9zo <br /> l VT 5374 <br /> 1335 PAULINE AVE. LOAD n5 <br /> i <br /> • CITY,STATE,ZIP <br /> MODESTO , CA 95358 <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> -09-578-4100 Q ❑ ❑ <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> ❑ ❑ ❑ ❑ <br /> 1 <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward /- <br /> 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: 70BE 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 Forward's refusal to accept the waste is based on <br /> weather or other site conditions,Forward shall notify the Disposer when site ❑ SOIL <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste. ❑ SLUDGE <br /> • REMARKS <br /> " ❑ NON-FRIABLE <br /> FACILI l TICKET 48ER AseEsros <br /> ❑ WOOD <br /> SIGNORE ORAI#HORIZED AGS _ DATE <br /> SH <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 RIVAL.ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> TO SCHEDULE CALL(209)989-4298- MANIFEST # 67480 <br /> TRANSPORTER COPY <br />