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�� NON-HAZ SOUS WASTE MANIFEST <br /> FWWA <br /> WASTE TRE RENT AND DISPOSAL FACILITY <br /> JOB: AcaI NNQS. } y{.�y` } <br /> M VF i' 44i al :�'Y <br /> .GENERATOR _ '__ _. _ _ z Ul t _DOPER_ SOI it P E GTkVE EC2Ut,PiyEEt __ _ <br /> _ ODU__ GLOVES GOGGLES RESPIRATOR HARD HAT <br /> MAILING ADDRESS Q NC�_ a R C A R E � _ w TY-VEK ❑OTHER,. ❑ <br /> - 1000_E...��H aNNE SPECIAL HANDLING PROCEDURES- <br /> CCTV,STATE.ZIP <br /> STOCKTON I, CA _9,5205 <br /> _ 20-9-943-7337 _ <br /> CONTACT PERSOK <br /> PHIL SOLER <br /> j. <br /> SIGNATURErOF'AUTHORIZED" GENT/TITLE': DATE <br /> a <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT S6IL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • ® DISPOSAL SOIL WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL F1ASH i <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> NAME NOTES: TRUCK NUMBER <br /> RICH HAMILTON TRUCKING950 <br /> ADDRESS <br /> 1336 PAULINE AVE . LOAM #11 <br /> . CITY,STATE, ZIP <br /> MODESTO, CA 95358 <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> 209-578-4100 E3 ❑ 0 <br /> SIGNATURE 9F AUTHORIZED XGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> - -i`. F i ❑ ❑ ❑ ❑ <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 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 /> REMARKS <br /> ❑ NON-FRIABLE <br /> ASBESTOS <br /> FACILITY TICKET NUMBER <br /> ❑ WOOD <br /> SIG ATURE OF AUTHORIZED AGENT DATE <br /> ❑ 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 <br /> TRANSPORTER COPY MANIFEST # C 5498 <br />