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�' � 4 " NON-HAZ' DOUS WASTE MANIFEST <br /> lr�'a� W�IARD o WASTE TRL—.I MENT AND DISPOSAL FACILITY <br /> ! <br /> EVE. JOB ACCEPTANCE NO. SHR- c767 <br /> GENERATOR - REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> SILVA TRUCKING , INC. El GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> 1 <br /> MAILING ADDRESS ❑TY-VEK ❑OTHER <br /> I 2119 W. ALPINE AVE . SPECIAL HANDLING PROCEDURES: <br /> CITY,STATE,ZIP <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 /> • ©XDISPOSALSOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> 38 W. MATHEWS RD . (209) 982- 1009 FAX <br /> FRENCH CAMP, CA <br /> NAME NOTES: TRUCK NUMBER <br /> gggg6g1 HHPAApMITLON TRUCKING <br /> �DR <br /> • CIT 'STATE,-ZIPULINE AVE. <br /> PHON//I??DD�ESTO ,. CA 9535END DUMP BOTTOM DUMP TRANSFER <br /> SIGNATOR ) F ITHORI2ED AQE�NT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> -_ - j \ / C <br /> ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste if weather or other y <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 theDISPOSE 810 AERATE STOCKPILE OTHER <br /> waste for any reason. If Forward's refusal to accept the waste is based onH <br /> -- <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 /> • <br /> the waste. ❑ SLUDGE <br /> REMARKS <br /> NON-FRIABLE <br /> ❑ ASBESTOS <br /> FACILITY TICKET NUMBER _ - <br /> � ❑ WOOD <br /> SIGNAT F OF UTHORIZE AGENT �TE, <br /> , <br /> U J/� ... .- ASH <br /> ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4:00 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 MANIFEST # 14763 <br /> TRANSPORTER COPY <br />