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. WARD .� •' NON-H _ 'DUUS WA5to MHNirt�i <br /> JE WASTE TR RENT AND DISPOSAL FACILITY <br /> IC.0 :JOB ACCEPTANCE <br /> r.. , <br /> GE�EFIATUR„�,.,,�,.•-„Y,,.. :' �-�.. , � �a ',. .�' .' ���REfIU,�Ft�E��EFtSE��t1�I�I�?R'�TEOT�tE�Efllwl�' �,..:��-� ,�A_.. <br /> D HAT <br /> n "� ❑GLOVES. ❑GOGGLES❑RESPIRATOR HAR <br /> MiurlP&2a�t-- t .,. :{ ;' ❑TY VEK ❑OTHER <br /> )* - - - SPECIAL HANDLING PROCEDURES: <br /> t r � <br /> • s <br /> SIGNATUI R&MR14ED ACiENZ` 1 ITf <br /> .. <br /> WASTE TWE RECEIVING FACILITY .: <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • ® DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> .. ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> s <br /> (209) 982- 1009 FAX <br /> z <br /> NAME s NOTES: TRUCK NUMBER <br /> RICH HAMILTON TRUCKING <br /> ADDRESS <br /> 1336 PAULINE AVE. LOAD #8 <br /> . CITY,STATE,ZIP <br /> MODESTO , CA 953514 <br /> . PHONE END DUMP BOTTOM DUMP TRANSFER <br /> 209-578-4100 ❑ {., ❑ <br /> SIGNATUREOF AUTHORIZED AGENT O,�.BFIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> t: f ❑ ❑ ❑ ❑ <br /> ./ <br /> CUBIC.YARDS. <br /> FORWARD INC. LANDFILL <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 use1. <br /> reasonable efforts to promptly notify Disposer of its inability to accept the DISPOSE BIO ., _ JAERATE STOCKPILE OTHER <br /> waste for any reason. If Forward's refusal to accept the waste is based on OIL <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 T E.OF AUTHORIZED AGENT DATE <br /> _ ❑ ASH <br /> ` C <br /> DOT <br /> HER <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# C 5495 <br /> TRANSPORTER COPY <br />