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NON-H ,DOU8 WAS1t MANrtSt <br /> WARD WASTE TR 'RENT AND DISPOSAL FACILITY <br /> _ ; <br /> .�r. JOB ACCEPTANCE N0. hr � : <br /> TOES e` ;:t r,'. F�EE�C}IR��f1 9ERSQIVAL�RQTECrG1CIfHE?FIIEI�E7' <br /> - PRODUGTI.OI� ARC ❑GLOVES. ❑GOGGLES []RESPIRATOR, <br /> E]HARD HAT <br /> ❑TY-VEK ❑OTHER. <br /> MAII_ING.AFJDRE`SS7777' - • <br /> 77777 SPECIAL HANDLING PROCEDURES: <br /> • _ S_T.Q�K Q T..f�.F.__.C.A.®.9 5 2.Q.5 __.._�,,..,..... , <br /> PHE7NE <br /> :20.9-94.3-i3,3_7� <br /> CONTACT PEOsOk <br /> PHIL 80LE_R _ <br /> SIGNATURE OFAUTHORt D AGENT f UTLE, DATE. ` <br /> �k <br /> WASTE T PE _ _. RECEIVING FACILITY. <br /> r ❑ 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 /> (209) 982- 1009 FAX <br /> NAME NOTES: TRUCK NUMBER <br /> RICH HAMILTON TRUCKING <br /> ADDRESS I . . 1 1. i- <br /> 1336 PAULINE AVE. LOAD #6 <br /> CITY,STATE,ZIP '. <br /> MOOBSTO, CA 95351 <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> 209-578-4100 0 ❑ E <br /> SIGNATURE OF AUTHORIZEp AGENT OR QR4YER DATE ROLL-OFF(S) ,.FLAT-BED VAN DRUMS <br /> FORWARD INC. LANDFILL cualc 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 DISPOSA .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 x <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 /> SK4*1 ATgRE OF AUTHORIZED AGENT DATE <br /> ❑ ASH <br /> 1 L t - GI ❑ 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 MANIFEST# C 5493 <br /> TRANSPORTER COPY <br />