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NON-HAZ/RDOUS WASTE MANIFEST <br /> FORVART) <br /> �+ I N C O R P O R A r L_a WASTE TREvWMENT AND DISPOSAL FACILITY i <br /> JOE ACCEPTANCE NO. - 4638 <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> S RE INC ❑GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> MAILING ADDRESS ❑TY-VEK ❑OTHER <br /> 11528 DUBLIN BLVD. ! <br /> CITY,STATE, ZIP SPECIAL HANDLING PROCEDURES: <br /> • DUBLIN . CA 9468 <br /> PHONE { <br /> ( 510) 529-8491 <br /> CONTACT PERSON i. <br /> DOT OFFMAN <br /> SIGN RE OFAUT �7ED AGENT / TITLE DAT <br /> WASTE TYPE RECEIVING FACILITY <br /> SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL I <br /> ❑ DISPOSAL SOIL <br /> ❑ CONSTRUCTION SOIL ❑❑ SH 9999 SOUTH AUSTIN ROAD ' <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> VACANT LOT <br /> $35 1A1. CLOVER ROAD (209) 982- 1009 FAX <br /> TRACY, CA <br /> i <br /> NAME _. NOTES: TRUCK NUMBERz '' <br /> I`tANLEY_ & SONS TRUCKING, INC. <br /> ADDRESS. .•. — i <br /> 8896 ELDER CREEK ROAD <br /> . CITY,STATE,ZIP <br /> _SACRAMENTO, CA 95825 <br /> PHONE END DUMP BOTTOM.DUMP TRANSFER -. j <br /> (916) ,331-6864 El . I <br /> SIGNA F ..UTHORIZE 4GENT OR DRIVER DATE ROLL-OFFS) FLAT-BED❑ r, VAN R DR <br /> i <br /> FORWARD INC. LANDFILL cuBlc YARps, r.. <br /> 18� 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 <br /> impairs the safe and effective operation of the Landfill. Forward shall use DISPOSAL METHOD: (TO BE COMPLETED BY FORWgRD) <br /> reasonable efforts to promptly notify Disposer of its inability to accept the DISPOSE BIO. AERATE STOCKPIi E 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 f`SOIL._- <br /> conditions are expected to change such that Forward will be able to accept 17 <br /> the waste. ❑ SLUDGE <br /> REMARKS i <br /> ❑ NON-FRIABLE <br /> FACILITY TICKET NUMBER ASBESTOS, t <br /> ❑ WOOD j <br /> SIG .ATURE F``AUTHORI D`AG T i DATE <br /> f J .. _ ❑ ASH <br /> / ❑-OTHER j <br /> I <br /> SCHEDULING MUST BE MADEIPRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> SI IBJECT..TO REFUSAL UPON ARRIVAL.ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE.. l <br /> SCHEDULE CALL (209)982-4298 <br /> . TRANSPORTER COPY MANIFEST # C <br /> 11492 <br />