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F 0 RNON-HAZA"60US WASTE MANIFEST <br /> �+ 1 t\I r O R P O R A T F D WASTE TREATMENT AND DISPOSAL FACILITY i <br /> JOE ACCEPTANCE NO. 4635 <br /> ftwi <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT i <br /> SRE INC <br /> ❑GLOVES []GOGGLES ❑RESPIRATOR [:]HARD HAT <br /> MAILING ADDRESS ❑TY-VEK [:]OTHER <br /> t <br /> 11828 DUBLIN BLVD. i <br /> CITY,STATE,ZIP SPECIAL HANDLING PROCEDURES: i <br /> DUBLIN , CA 94568 <br /> PHONE <br /> I <br /> ( 5 10) 829-8491 <br /> CONTACT PERSON <br /> DON! HOFFNIAN <br /> SIGN 'T/URE OF AUTHO Z.C) GENT / TITLE DATE, <br /> /A 719 <br /> • ASTE TYPE r� RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • ❑ DISPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> I VACANT LOT <br /> 835 W. CLOVER ROAD (209) 982- 1009 FAX } <br /> TRACY, CA <br /> . . j <br /> NAME" <br /> �.- .. N OTES; <br /> RU <br /> MANLEY E SONS TRUCKING, INC. <br /> _ K NUM, <br /> ADDRESS 3 8 3 Easy <br /> 8896 ELDER .CREED ROAD 6 I <br /> . CITY,STATE,ZIP <br /> U AJ / <br /> SACRAMENTO, CA 95828 <br /> • PHONE. END DUMP BOTTOM DUMP w� TRANSFER j <br /> ( 381-6864 p <br /> ❑. i <br /> SI ATURE O AUTHORIZED AGENT OR DRIVER DATE ROLL-OF (S) FLAT-BED VAN x DRUMS„meq <br /> - ❑ ❑ ❑ p - <br /> O-� <br /> CUBIC YARDS <br /> FORWARD INC. LANDFILL : ,....... M. _" <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 DISPOSAL METHOD:,, '.impairs the safe and effective operation of the Landfill. Forward shall use (TO BE COMPLETED BY FORWARD). <br /> reasonable efforts to promptly notify Disposer of its inability to accept the DISPOSE BIO AERATE JSTOCKPILE OTHER?= e <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 ❑ SOIL j <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 j <br /> FACILITY TICKET NUMBER <br /> ❑ WOOD <br /> aNATURE OF AUTHORIZED.AGENT DATE'- <br /> ' ❑ ASH <br /> 7 C� ❑ OTHER '; f <br /> HEDULING MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> BJECT TO REFUSAL UPON ARRIVAL.ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. I <br /> Te!SCHEDULE CALL (209) 982-4298 <br /> TRANSPORTER COPY MANIFEST # C 1 A R 9 <br />