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W �fy +$v9AFFAs yrs <br /> I f}Us 009A FACILfTY <br /> :�/ ++�,t'� D'•i 9 :a$. �e f�„�`iBL�` . >.. a..�,.a <br /> ACCEPTANCE Na A 4 . <br /> MONIER. INC ,4 eFsr', ❑GLOVES QGOGGCES❑RESPIRATOR QHARDHAT <br /> Q ❑TY-VEK [OTHER sq }' <br /> 9508 S . :HARLAM,rA4 "� <br /> SPECIAL HANDLING PROCEDURES. ”- - - <br /> FENCH CAMP, , CA::,95221 <br /> P �9 <br /> 209-982-1473 9780 LB <br /> ' . .I 33840 LH <br /> CONORP eERSI 32760 LB 9000 LB <br /> NORMAKLN KLINGM N <br /> SIGNA7EOFAUEHE3RYZEE7r-AGFStT r ._ g: -14-95 13380. LB . <br /> eel'767380 LB 1'6 10000 LB <br /> II �Wq< 9:45A <br /> WZTETYPE �,.tm r , �x'. #xr.�...,,; ,r_ RECEMNG.FACILMY - •s <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • 0 DISPOSAL SOIL ❑ WOOD gggg SOUTH AUSTIN ROAD <br /> F-1CONSTRUCTIONSOIL ❑ ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> • GENERATING FACILITY (209) 982-4298 PHONE " <br /> (209) 982- 1009 FAX <br /> NAME ; <br /> y " ':' NOTES: TRUCKNUMBER <br /> RICH HAMILTON RTRUCKING �v � � /) <br /> ADDRESS C/ <br /> 1336 PAULINE AVE . <br /> . CITY,STATE,ZIP <br /> MODESTO , CA 95358 <br /> • PHONE END DUMP BOTTOM DUMP TRANSFER <br /> 209-578-4100 ® ❑ ❑ <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> 91- ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL CUBICYARDs <br /> Forward shall have no obligation to adept 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 COMPLETEDBY RWARD) <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 t�THER <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 /> conditions are expected to change such that Forward will be able to accept <br /> the,waste. - - ❑ SLUDGE _ <br /> • REMARKS _ - _ - NON-FRIABLE <br /> ❑ ASBESTOS <br /> FACI ICK .. ❑ WOOD <br /> NA R F AU IZED ENT' ATE. . <br /> - ❑-ASH <br /> ❑ orHER <br /> SCHEDULING MUST BE MADE PRIORXf;�4:60 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 MANIFEST# C 5 516 <br /> TRANSPORTER COPY , <br />