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INUIN-HAL/? l)UU5 WASTE MANIFEST <br /> WASTE T' IENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. s �=644111 <br /> GUNT <br /> NG U N TRERT STEEL REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> f y <br /> MAILING ADDRESS []GLOVES ❑GOGGLES []RESPIRATOR El HARD HAT <br /> 222 E. 4TH ST. �. r"` ❑TY-VEK ❑OTHER <br /> CITY,STATE,ZIP SPECIAL HANDLING PROCEDURES: <br /> • RIPON, CA 95366 <br /> PHONE <br /> 209-599-6131 <br /> CONTACT PERSON . <br /> CHRIS GUNTERT <br /> SIGNATUR F AUTHORIZED AGENT/ TITLEC7�j DATE / <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ <br /> SLUDGE <br /> TREATMENT SOIL ❑ <br /> • ® DISPOSAL SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> ❑ 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 /> F <br /> NAMEIN <br /> NOTES: ' - TRUCK NUMBER <br /> RICH HAMILTON TRUCKING S'C3I3& 7 <br /> ADDRESS Q / r ) <br /> 1336 PAUIINE AVE. LOAD #1 l L <br /> • CITY, STATE,ZIP ` <br /> MODESTO , CA 95358 _ 1 L/ Q35 " <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> 209-579-4100 In ❑ ❑ <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> El El El El <br /> FORWARD INC. LANDFILL CUBIC <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 DISP SAL 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 I 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,Forwardshall notify the Disposer when sit S <br /> conditions are expected to change such that Forward will be able to accep <br /> • the waste. SLUDGE <br /> REMARKS <br /> ElASBESTOS• FACILITY K NUM R ASBESTOS <br /> ❑ WOOD <br /> SIGN R FAU O ZEDAGf \7 <br /> ❑ ASH <br /> ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANIIIIIIIIIN <br /> Y 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 - - .MANIFEST # 49623 <br /> TRANSPORTER COPY <br /> - -— —"---- --- -��onVER�---•v ERPF <br /> ES�'n1ST ar C7'ED ARor ... <br />