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�• r• Kz l <br /> Grt' fa <br /> s ` WASTETREATME[��ANDDISPOSAL�ACCCLY'+T <br /> x�� r. ;�OB, C�EPTANCENO" • �� ;s � <br /> ..�r�� , <br /> : s � <br /> MOSM <br /> .[]GLOVES ❑GOGGLES []RESPIRATOR []HARD HAT <br /> IFJ �]TY-VEK ❑OTHER ,a, ► <br /> <s <br /> rS�q SPECIAL HANDLING PROCEDURES .( <br /> PHO <br /> 10540 LB 9680 LB <br /> 203-.9 B2--1 35860 LB 14640, LB <br /> cOtun�EEsOefAa 11 33540 LB <br /> 90RMAN KLINGMAN 9:29A 6-14-95 10664 LB <br /> EAUTHORIZED:' DATE 9:4bA 6-1.4-95 <br /> SIGNATUREO <br /> 80040 LB T6 <br /> 34s80..LR T6 <br /> WA 8TETYPE•• 4 'W e RECEIVING,FACILITY <br /> ❑ SLUDGE ' <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> ` DISPOSAL SOIL Q ASH ASH 9999 SOUTH AUSTIN ROAD <br /> LJ CONSTRUCTION SOIL ❑ <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> NAME,.: NOTES: „ .' TRUCK NUMBER <br /> RICH HAMILTON TRUCKING - <br /> ADDRESS <br /> 1336 PAULINE AVE. <br /> CITY,STATE,ZIP <br /> MODESTO , CA 95358 <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> 29-578-4100 )(3 Q [] <br /> SIG E O AUTH IZED A ENT OR DRIVER DATE ROLL-OFF(S) 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 KF-It.E'. OTHER <br /> waste for any reason. If Forward's refusal to accept the waste is based on SOIL <br /> weather or other site conditions, Forward shall notify 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 NU <br /> _ ❑ WOOD <br /> SIG E O THORI ENT, <br /> cc Q ASH <br /> ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO'4,W 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)982-4298 <br /> TRANSPORTER COPY MANIFEST # C 5515 <br /> ----------— ------ <br />