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NON-HAZ; 'DOUS WASTE MANIFEST. <br /> � -MRWARV WASTE TRE RENT AND DISPOSAL FACIUTY <br /> .4. Jai ACCEPTANq NO. -° <br /> REQItEG PEUIPMEf ' <br /> -,-PRO DULCIN�CA.Ei�AR'E � <br /> []GLOVES._ []GOGGLES ❑RESPIRATOR . ❑HARD HAT <br /> MAILINfxAdORE ;` - ,:` ❑TY-VEK E]OTHER <br /> _. <br /> SPECIAL HANDLING PROCEDURES: <br /> CITY;$TATE,.ZIP v . <br /> PHONE, - 7 <br /> ' ' 209-943 7337 _ - <br /> CONTACT PERSON: <br /> PHIL. _BOLER <br /> SIGNATURE OF AUTHO IZED AGENTLE <br /> 7 <br /> ... f <br /> u <br /> • <br /> WASTE TYPE, '.,., 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 f <br /> (209) 982- 1009 FAX <br /> NAME i, NOTES: =: .TRUCK.NUMBER <br /> RICH HAMILTON; TRUCKING <br /> ADDRESS <br /> 1336 PAULINE AVE . LOAD #3 <br /> . CITY,STATE, ZIP <br /> MODESTO , CA 953581 <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> 209-578-4100 ❑ ❑ El <br /> SIGNATURE OF AUTHORIZED AGENT-9R DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> y _ ❑ ❑ ❑ ❑ <br /> f -e i Vii. 2 Z�-- <br /> 44 <br /> FORWARD INC. LANDFILL cuBlc 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 IG( SOIL <br /> weather or other site conditions,Forward shall notify the Disposer when site yc� <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 /> SIGNATUff 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 5 AL}9 G <br /> � TRANSPORTER COPY MANIFEST # C <br />