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NON-HAZ ,DOUS WASTE MANIFEST <br /> WARD " WASTE TRL-7-o MENT AND DISPOSAL FACILITY <br /> �N�• JOB ACCEPTANCE NO. SHR - 0767 <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> SILVA TRUCKING , INC. [:]GLOVES ❑GOGGLES ❑RESPIRATOR [-]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 /> (909 982-1114 <br /> • <br /> CONTACT PERSON " <br /> DAVE SILVA <br /> SIGNATURE OF AUTHORIZED AGENT / TITLE DATE <br /> * L r, v <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> • ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • [] DISPOSAL SOIL ❑ WOOD gggg SOUTH AUSTIN ROAD <br /> E] CONSTRUCTION SOIL F-1ASH <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 HAMITLON TRUCKING �_ -� <br /> ADDRESS 7_� �- <br /> 1336 PAULINE AVE. <br /> • CITY,STATE,ZIP <br /> MODESTO, CA 95358 <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> (209 578-4100 Q ❑ ❑ <br /> . <br /> SIG UR OF AUTHORI P AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> % L C` ❑ ❑ ❑ ❑ <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 si OI <br /> conditions are expected to change such that Forward will be able to acce <br /> • the waste. ❑ SLUDGE <br /> - <br /> REMARKS <br /> NON-FRIABLE <br /> ❑ ASBESTOS <br /> FACILITY TICKET NUMBER <br /> WOOD <br /> SIGNATU�OF AAAI�HO�YZED A NT [7E <br /> // ASH <br /> OTHER <br /> SCHEDULING MUST BE MADE PPIOR T9/4-00 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 14762 <br /> MANIFEST # <br /> TRANSPORTER COPY <br />