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WANON-HAL �UUS:wH5ttMANirro(RD WASTE.TRE `1ENT AND DISPOSAL,FACILITY <br /> `JOB ACCEPTANCE N0. <br /> x: ,,3` ` .NREC�CIIRED AI_: TEfcTtE E(:QUI ,,, <br /> GENERATR. x � _ <br /> ' S a"D.U CSS O IGC E]GLOVES_ F1GOGGLES ❑RESPIRATOR []HARD HAT <br /> MAILUVGAD15RESS rf "'� '' � �r <br /> [:]TY-VEK. POTHER <br /> SPECIAL HANDLING PROCEDURES: <br /> 2.09-943-.733 Z._ _ <br /> CONTRCT,PERSON' <br /> PHIL -BOLER <br /> IGNATURE OF-AUTHORIZED'AGENT/.,TITLE w'._. DATE <br /> .. <br /> -ZI- <br /> WASTE TY RECEIVING FACILITY <br /> ❑ SLUDGE T <br /> FORWARD INC. LANDFILL <br /> TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS <br /> r_1 <br /> • p DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <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 TRUCKING �� <br /> ADDRESS ... <br /> 1336 PAULINE AVE . LOAD #7 <br /> . CITY,STATE,ZIP <br /> MODESTO , CA 9536$ <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> 209-578-4100y;� ® 11 p <br /> • SIGNATURE fOF AUTHORIZED ,%LNT 05-BRIER DATE ROLL-OFFS) -TREAT-BED VAN DRUMS <br /> �; ;,� t 1 I ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL CUBICYARDS , <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 Vweather 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 /> p ASBESTOS <br /> FACILITYTICKET NUMBER <br /> - <br /> ..I <br /> E] WOOD <br /> SIGNATU E`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 TRANSPORTER COPY MANIFEST # C 5494 <br />