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� NON-HAZ�,oDOUS WASTE MANIFEST <br /> y), FORWARA. <br /> I NCO R P ORATE D WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. — 4638 <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT; _ <br /> SRE INC ❑GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD HAT i <br /> _MAILING ADDRESS ❑TY-VEK [:]OTHER <br /> f <br /> 11828 DUBLIN`; BLVD. j <br /> CITY STATE, ZIP SPECIAL HANDLING PROCEDURES: y <br /> DUBLIN , CA 9456:: <br /> PHONE - <br /> ( 510 ) S29-8491 <br /> CONTACT PERSON <br /> DON/'IiOFFMAN <br /> SIGN RE QF THORI ��DG{E,NT/TITLE_ DAT" <br /> WASTETYPE RECEIVING FACILITY x s <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • ❑ DISPOSAL SOIL O <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ OTHER <br /> MANTECA, CALIFORNIA 95.33.6 <br /> ,GENERATING FACILITYS <br /> (209) 982-4298 PHONE <br /> VACANT LOT ,.: <br /> 835 W. CLOVER ROAD (209) 982- 1009 FAX: : i <br /> TRACY, CA d <br /> j <br /> `NAME NOTES TRUCK NUMBS R9, . . <br /> PdANLLY & SONS TRUCKING, INC. <br /> ADDRESS .., 2,3 / ---, <br /> 8$96 ELDER CREEK ROAD U� J??Z <br /> CITY,STATE,ZIP <br /> U , <br /> 5_ CRAAfENTO, 'A 95828 <br /> PHONE END DUMP BOTTOM DUMP <br /> ,,TRAN F:R ':-: j <br /> 16) 381 6664 _. . ❑ ❑ � <br /> „GNATURE OF AU <br /> OR ED AGENT OR DRIVER DATE,:_- ROLL-OFFS) FLAT-BED VAN UMS <br /> El El <br /> CUBIC YARDS <br /> FORWARD INC. LANDFILL " < <br /> 1S YARDS <br /> Forward shall have no obligation to accept the waste if weather or other t <br /> 1 conditions impair the safe and effective disposal of the waste or if the waste f <br /> impairs the safe and effective operation of the Landfill. Forward shall use DISPOSAL METHOD: (TO BE COMPLETED BY FORWARD) 1 <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 <br /> weather or other site conditions, Forward shall notify the Disposer when site Z <br /> conditions are expected to change such that Forward will be able to accel5t j <br /> the waste. ❑ SLUDGE <br /> REMARKS <br /> ' ❑ NON-FRIABLE <br /> ASBESTOS <br /> FACILITY TICKET NUMBER. /? <br /> /� �! / ❑ WOOD { <br /> (GNAT RE Ori AUTHORIZEp/jGENT %� DATE <br /> ❑ OTASH <br /> HER t <br /> "-HEDULING MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS.ARE <br /> JBJECT TO REFUSAL UPON ARRIVAL.ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> -PO SCHEDULE CALL (209)982-4298 <br /> TRANSPORTER COPY MANIFEST # 0 14 9 3 <br />