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FORWARD <br /> NON-HAT �'DOUS WASTE MANIFEST <br /> �'� L� WASTE TRErrt MENT AND DISPOSAL FACILITY <br /> INC JOB ACCEPTANCE N0. sHR -oi6T <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> SILVA TRUCKINQ , INC. ❑GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> MAILING ADDRESS ❑TY-VEK ❑OTHER <br /> 2119 W. ALPINE AVEC <br /> CITY, STATE, ZIP SPECIAL HANDLING PROCEDURES: <br /> STOCKTON , CA 95204 <br /> PHONE <br /> (209) 982-1114 <br /> CONTACT PERSON <br /> DAVE SILVA <br /> SIGNATURE OF AUTHORIZED AGENT /TITLE DATE <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ' ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • © DISPOSAL SOIL ❑ 9999 SOUTH AUSTIN ROAD <br /> r_1 CONSTRUCTION SOIL ❑ ASH ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY _ (209) 982-4298 PHONE <br /> 36 W. MATHEWS RD. (209) 982- 1009 FAX <br /> FRENCH CAMP , CA <br /> NAME - NOTES: TRUCK NUMBER <br /> RICH HAMITLON TRUCKING �f <br /> ADDRESS <br /> 1336 PAULINE AVE.. <br /> • CITY,STATE, ZIP <br /> MODESTO, CA 95358 <br /> PHONE / END DUMP BOTTOM DUMP TRANSFER <br /> SIGU(209 578-4100 El ❑ <br /> TUR OF AU H1AGENT OR RIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS <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 DISPICISAL ME (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 STOCKPILE -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 /> s «4 <br /> REMARKS ;;;,,� <br /> NON-FRIABLE <br /> .. . ,x` ❑ ASBESTOS <br /> FACILITY TICKET NUMBER x„ <br /> ❑ WOOD <br /> rHORIZE <br /> SIGNATURE OF AGENT - DATE <br /> ASH <br /> U ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL UPON ARA1V L.ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> TO SCHEDULE CALL(209)982-4298 MANIFEST # 14761 <br /> TRANRPnPTPR C.n PV <br />