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�bNON-HAZ^9DOUS WASTE MANIFEST <br /> FORWART) <br /> Va fN C O R P O R A T E*f� WASTE TRErrfMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE N0. -- s <br /> GEShI TIN <br /> NE�p pRC " REQUIRED.PERSONAL_PROTECTIVE EQUIPMENT <br /> ❑GLOVES ❑GOGGLES F-1 RESPIRATOR ❑HARD HAT <br /> MAILING ADDRESS ❑TY-VEK []OTHER <br /> 1 1825 DUBLIN BLVD. j <br /> i <br /> CITY STATE,ZIP SPECIAL HANDLING PROCEDURES: <br /> DUBLIN . CA 94568 <br /> • NE <br /> PH?510 ) 829-8491 <br /> CODON TI-PIOFFO Aiv <br /> SIGNATURE 'AUTHORIZED A T DATE /W7 <br /> J o i/ ' � '1�C <br /> • WAST TYPE RECEIVING FACILITY ti_; ;y <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • ❑ DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 1 <br /> ❑ OTHER MANTECA, CALIFORNIA 9.5336 <br /> GEVNNERATING FACILITY, (209) 982-4298 PHONE <br /> " .' ACAN LOT i <br /> 835 W. CLOVER ROAD (209.) 982- 1009 FAX <br /> TRACY , CA <br /> NAME NOTES TRUCK NUMBER I <br /> " r1ANLEY &{. SONS TRUCKING", INC. x 1 <br /> ADDRESS` :5.D 2'p�I <br /> .8896 ELDER CREEK ROAD <br /> 17 <br /> •;,CITY;YSTATE,ZIP / 0✓617 <br /> .. 'SACRAMENTO;, CA 95S-')S <br /> PHONE END DUMP BOTTOM.DUMP TRANSFER``r <br /> ( 916). 381-6S64 _.. ❑. .. ❑_.. <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT BEDS o.- yYAN <br /> � DRUMS -; <br /> ❑ <br /> El <br /> : �.❑ <br /> CUBIC YARDS. r <br /> FORWARD INC. LANDFILL 13` YAR15s '' <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,FORW/.k . <br /> impairs the safe and effective operation of the Landfill. Forward shall use OTHER <br /> reasonable efforts to promptly notify Disposer of its inability to accept the DISPOSE BIO AERATE SI KPILE r <br /> waste for any reason. If Forward's refusal to accept the waste is based on <br /> weather or other site conditions,Forward shall notify the Disposer when site SIL. a <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 /> SIGNATURE OF AUTHORIZED�..,tEN/T DATEASH <br /> " �—�. ���✓�� 5 ❑ 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 <br /> 11499 <br />