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FORWAU_ NON—Hk RDOUS WASTE MANIFEST <br /> V� I LN C O R P0 R ATE D WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. C 74638 <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT. <br /> S R E INC ❑GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> MAILING ADDRESS ❑TY-VEK ❑OTHER <br /> 11823 1)UTBLIN .BLG'D. <br /> CITY, STATE, ZIP SPECIAL HANDLING PROCEDURES: <br /> • DUBLIN! CA 94568 <br /> - PHONE . <br /> ( 510 ) 529-5 }91 <br /> CONTACT PERSON <br /> DON ,-HOFFINIAN <br /> SIG�A)4RE OF AUTH RIZED AGENT / TITLE DATE <br /> •-'. !nr r/ p J <br /> WASTE TYPE 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 <br /> MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY <br /> (209) 982-4298 PHONE 1 <br /> VACANT LOT <br /> 835 'h . CLOVER ROAD <br /> (209)982- 1009 FAX ; <br /> TRACY, CA <br /> NAME i <br /> N t <br /> OTES: ` ' <br /> . . ...� TRUCK NUMBED <br /> i�iANLEl' & SONS TR UCh I NG, INC. lJ l / <br /> ADDRESS • . <br /> 8896 ELDER CREEK ROAD 3 <br /> .CITY,STATE,ZIP <br /> SACRAMENTO, CA 95823 j <br /> PHONE END DUMP BOTTOM DUMP: TRANS R <br /> ( 916) 3r81—6S64 � _ ❑ . ... .., i <br /> SIGNA F AUTHO D AGENT OR DRIVER DAT <br /> ROLL-OFFS) FLAT-BED VAN b "�DRUMS <br /> El <br /> FORWARD INC. LANDFILL cuBIc.YARDs >s , <br /> 1S 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 FORWARD) <br /> reasonable efforts to promptly notify Disposer of its inability to accept the DISPOSE BIO . AERATE STOCKPILE OTHER Y 3 <br /> waste for any reason. If Forward's refusal to accept the waste is based on �• 1 <br /> weather or other site conditions, Forward shall notify the Disposer when si -Q-SOIL <br /> • conditions are expected to change such that Forward will be able to accept <br /> the waste. ❑ <br /> ` REMARKS ' SLUDGE <br /> _ ❑ NON-FRIABLE <br /> FACILIT_X TIC NUMBER ASBESTOS <br /> ❑ WOOD <br /> SIG ATU E OFAUTHORI ED AGENT DATE _ <br /> A / Q ASH <br /> 1 <br /> -- <br /> E] OTHER <br /> SCHEDULING MUST BE MADE PR)OR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> UBJECT TO REFUSAL UPON ARRIVAL.ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY <br /> O BEFORE. , I <br /> SCHEDULE CALL (209) 982-4298 <br /> TRANSPORTER COPY MANIFEST # C <br /> 11488 <br />