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IFOR'p r' NON-HPZ° - )OUS WASTE MANIFEST <br /> ARS WASTE'VEn,MENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. ss' °fl;yys�5 <br /> GENERATORS w„� _ --ti �,.„ a _, ; .REQUIREDPERSONAL.PROTECTIVE_EQUIPMENT <br /> _..-_ <br /> E Z S RVE OF CALIF ❑GLOVES ❑GOGGLES []RESPIRATOR []HARD HAT <br /> MAILINPGApD.bRgE ❑TY-VEK% F]OTHER <br /> ._ CITY•,ST�1TE ZIP,OX 922021 -�z .,„. „ ; SPECIAL HANDLING PROCEDURES: ! �. <br /> --..0OUSTOR-, _9A,. TEXAS 77292 0021, <br /> PHON "'r, <br /> (x'13 �& 4312 - t <br /> CONT T PE <br /> ..p gHZ.r«LT <br /> SIGNATOR FAUTHOFiZsED(AGENT,/,TITLE_. DATE <br /> A IL j lq(2Z <br /> WAS ..TYPE RECEIVING FACILITY. - .. <br /> i <br /> ❑ <br /> SLUDGE <br /> TREATMENT SOIL -- ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTINROAD❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY Spx (209) 982-4298 PHONE <br /> 239 S. STOCKTON ST.. (209) 982-1009 FAX <br /> RIPON , CA <br /> NOTES <br /> NAME: TRUCK NUMBER <br /> .w_...�.- ._,:..':: S,.__,.., ., .v ,., ... ..s. .... ........._-.... <br /> RICH HAMILTON .TRUCKINO <br /> O <br /> .1336 P.AULINE ..AVE LOAD !1 13 <br /> • CITYSTATE, ZIP .: .;., .. .: ...... <br /> I MODESTO,CA, 95358 _.., <br /> PHONEv „ , END DUMP, BOTTOM DUMP TRANSFER <br /> ( El El <br /> 209 578-4100 Q <br /> . SIGNATURE F�AUT�IZ_ED AGE OR DRIVER DATE.- .; ROLL-OFF(S) ,„..,.FLAT-BED VAN ,;,DRUMS <br /> I * -/2L9 ,� lam` / - ( _`i3 ❑ ❑ El 1:1 <br /> FORWARD INC. LANDFILL cuBlc,vARos.,. <br /> Forward shall have no obligation to accept the waste it 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 5: ?. , , ,- ;;;.DISPOSE 810. ; AERATE STOCKPILE ':OTHER <br /> wasteforany reason. 0 Forward's refusal to accept the waste is based on 7 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 - T. ❑ SLUDGE <br /> -- ,T: - <br /> REMARKS t i } ' �,.:"�a s :,..e..4iu n......s., .. r...a...z✓. <br /> NON-FRIABLE - <br /> ❑ ASBESTOS <br /> ❑ WOOD <br /> ❑ ASH =1 <br /> */ LT,1 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 DEUVERfES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> To SCHEDULE CALL(209)982-4298 MANIFEST# 14742 <br /> '� TRANSPORTER COPY <br />