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P <br /> -� NON-HAZ JOUS WASTE MANIFEST <br /> dWARD WASTE TREATMENT AND DISPOSAL FACILITY <br /> ME. JOB ACCEPTANCO'NO. SHR-K0767'` <br /> GENERATOR / REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> SILVA TRUCKING ,' INC . <br /> E]GLOVES ❑GOGGLES ❑RESPIRATOR E]HARD HAT <br /> MAILING ADDRESS - [_]TY-VEK []OTHER <br /> 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 /> • ®(DISPOSALSOIL ❑ WOOD - 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> •• ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> • <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 HAMILTON TRUCKING <br /> ADDRESS <br /> 1336 PAULINE AVE . <br /> • CITY,STATE, ZIP <br /> MODESTO , CA 95358 <br /> • PHONE END DUMP BOTTOM DUMP TRANSFER <br /> (209) 578-4100 Ek ❑ ❑ <br /> SIGNATURE PF AUTHORIZED ENT OR�R 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 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 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 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 /> - <br /> SIGN AT OF AUT R ED AGE � DATE <br /> I � —� ❑ ASH <br /> ❑ OTHER <br /> SCHEDULING MUST BE MADE PRI T 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 # 14767 <br />