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f^ � 3 'M �.`.'"'A't 1 4 t.•aw rsSs .Ja?.t5e �lr -*� <br /> WASTF�',tT�EPTINENT'ANO DISPOSALFACIL[TY <br /> r 3 1 Y JOB r»£ a' 4`AEPTANCE NO <br /> �S'w''�•�'l�":�[ v�0,-„ "' Y� ,�'�[:ir+','n"4 '...'3n..:: y :ty.>,.%'., _•. • ..+Y __'"� �.�c^,,�Y.a <br /> • ❑GLOVESz❑GOGGLES ❑RESPIRATOR QHARDHAT <br /> OTHER <br /> SPECIAL <br /> r4 <br /> SPECIAL HANDLING PROCEDURES' - <br /> �' <br /> • 9720 LB <br /> 0 - ffr 1'473` 30780 LB <br /> 25520 LB <br /> 11:24A 6-14-95 <br /> SIGNATURE OFAtRIHOR►gQ fC TtFE”' EJRTE; �e 66020 LB T6 . <br /> so <br /> WASTE TYPE U _.. .' RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ©© TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • DISPOSAL SOIL ❑ <br /> E3 ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL Q ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336- <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> NAME NOTES: TRUCK NUMBER <br /> RIBS HAMILTON TRUCKING f _ <br /> AIIRESS1336 PAULINE AVE. <br /> . CITY,ST'�H?STO, CA 95358 <br /> PHONE 209-578-4100 EN�UMP BOTTOM DUMP TRANSFER <br /> ❑ ❑ <br /> SIGNATURE OF AUTHORIZED AGENT DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> knzila6kl 16 <br /> FORWARD INC. LANDFILL cuelc YARDS <br /> Forward shall have no obligation to accept the waste if weather or other I <br /> conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL METHOD: (TO BE COMPLETED BY FOR41D1RD) <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 shotnotify 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 /> ASBESTOS <br /> FACIU TICK UMBE ` # <br /> -❑ WOOD <br /> SI NA R F ALITH I ENT DATE <br /> ❑ ASH <br /> l (TI ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR T :00 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 5522 <br /> TRANSPORTER COPY MANIFEST # C <br />