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FORWA <br /> NON-HAZI "DOUS WASTE MANIFEST <br /> � WASTE TRORf"MENT AND DISPOSAL FACILITY <br /> V� INCORPORATL- ? <br /> 1 <br /> JOB ACCEPTANCE NO. F 4630 <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT' r: <br /> S R.L' INC ❑GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> MAILING ADDRESS ❑TY-VEK [:]OTHER <br /> i <br /> 11328 DUBLIN BLVD. SPECIAL HANDLING PROCEDURES: <br /> CITY,STATE,ZIP <br /> • DUBLIN , . CA 9456 r <br /> 5 <br /> PHONE <br /> I <br /> ( 510 ) 329-8491 <br /> CONTACT <br /> PE <br /> SI DO , R QOFFAU tiT I <br /> ' ENT / TITLE DAT <br /> WASTE TYPE i, RECEIVING FACILITYE] SLUDGE <br /> ❑ TREATMENT SOIL E] NON-FRIABLEASBESTOS FORWARD INC. LANDFILL ' I <br /> • ❑ DISPOSAL SOIL ❑ WOOD <br /> E] CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD I <br /> .. ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> i <br /> GENERATING FACILITY. (209) 982-4298 PHONE <br /> VACANT LOT (209) 982- 1009 FAX <br /> 335 W. CLOVER ROAD <br /> TRACY, CA <br /> NAME .. .: __— <br /> NOTES: TRUCK•NUMBE,R�,;,% <br /> MANLEY . & SONS, TRUCKING, .INC. <br /> ADDRESS t <br /> 8896 ELDER CREEK ROAD <br /> . CITY,STATE,ZIPb <br /> SACRAMENTO, CA 95828 <br /> PHONE END DUMP BOTTOM_DUMPY' ;BRANS ERS; <br /> P _... <br /> ( 916) 381-6364 , <br /> o ❑ <br /> SIGNATURE OF AUTHORIZED AGENT 9,R-DR GATE ROLL-OFFS) a ;,'.FLAT-B.ED i VANS ,DRUM ,S <br /> El rl El <br /> y _ <br /> FORWARD INC. LANDFILL CUBIC YARDS : �S 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 DISPOSE 810 AERATE STOCKPILE OTHER <br /> reasonable efforts to promptly notify Disposer of its inability to accept the _. . <br /> .r waste for any reason. If Forward's refusal to accept the waste is based on IL ' <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. ❑ SLUDGE <br /> ` REMARKS <br /> NON-FRIABLE <br /> �I �� ❑ ASBESTOS <br /> FACILIT /TIC ET NUMBER <br /> ;� ❑ WOOD <br /> SIGNATOR O AUT ORIZE AGENT / DATE <br /> l' 5 E] ASH <br /> ��� / [:1OTHER <br /> r <br /> SCHEDULING MUST BE MADE PRIOR TO 4100 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 /> L, TO SCHEDULE CALL (209) 982-4298 TRANSPORTER COPY MANIFEST # C 11490 <br />