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a__�DlsPosAt�FACIILMY <br /> EPTANC_E N0. <br /> n •,.`.. r ' :' -`f' -�:�: �QGLOVES.[]GOGGLES_[]RESPIRATOR []HARD HAT <br /> jiNiM <br /> QTY-VEK ,[],OTHER — <br /> 'S _'_ <br /> C SPECIALppHANDLING PROCEDURES. <br /> rA <br /> 8 <br /> • 620 LB <br /> 2 _ - <br /> - 2498.0 LB <br /> 12:28P 6-14-95 <br /> ^�j(7RMAN KI T_NGMA 63380 LB T6 <br /> SIGNATUR 0 � � <br /> RECEMNCz'EACIF� <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL - ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • ❑ DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> []i'OTHER STOCKPILE MANTECA, CALIFORNIA 95336 <br /> GENERATINGFACIUTf _..: _ (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> NAME �,; .� »..<.. . ,.v,�.:5w" �:.;;:ti' NOTES _TRUCiSNUMBER .. <br /> RICH HA MILTON . TRUCKING .. U <br /> ADDRESS <br /> 1336 PAULINE AVE. <br /> - CITY,STATE,ZIP <br /> MOOESTO, CA 95353 <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> 209-573-41100 E ❑ ❑ <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-0FF(S) FLAT-BED. VAN' DRUMS <br /> El El El <br /> - ❑ <br /> CUBIC YARDS — <br /> FORWARD INC. LANDFILL <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 -DISPOSEBIO. AERATE SIMKPI -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 <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 TICKET NUMB <br /> / ❑ WOOD <br /> SIGNAT .OF; .-_PRIZE GENT DATE <br /> /C/{r - ❑ ASH <br /> ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR T '4-OO 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 56533 <br /> MANIFEST # <br /> TRANSPORTER COPY <br />