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...,,.,..`•f:If�ktlLzo@u+svuw,smsa+rsaAA..w,m«.a...... ..._-_ <br /> NON-HAZARDOUS WASTE MANIFEST <br /> FORWARD" <br /> �� ►I -I N C O R P O R A T E D WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOE ACCEPTANCE NO. - <br /> 4638 <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT i <br /> S.RE I I\l: [:]GLOVES [:]GOGGLES []RESPIRATOR ❑HARD HAT j <br /> MAILING ADDRESS ❑TY-VEK ❑OTHER <br /> 11328 DUBLIN BLVD . <br /> CITY,STATE,ZIP SPECIAL HANDLING PROCEDURES: <br /> • DUBLIN . CA 94568 , <br /> PHONE - � <br /> l <br /> ( 510) 829-3491 <br /> i <br /> CONTACT PERSON 1 <br /> DQ11 HOFFA9AIv <br /> ;r ,11RE OF AU R ED GENT /.TITLE DATE <br /> i WASTE TYPE RECEIVING FACILITY.: <br /> Fj SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> 3 ❑ DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY I <br /> (209) 982-4298 PHONE <br /> VACANT LOT 209 982- 1009 FAX ' <br /> 833 W. CLOVER ROAD ( ) <br /> TRACY. CA <br /> NAME.': . NOTES:' TRUCK NUMBERS "' 1 <br /> `fANLEY & SON_ S TRUCKING, INC. <br /> DDRESS �C9 <br /> 8596 ELDER CREEK ROAD <br /> CITY,STATE,ZIP. ... _..,.. <br /> SACRAMENTO, CA 9582)3 <br /> —HONE %,. END DUMP BOTTOM DUMP,,, TRANSFER <br /> (916 ) 3$ 1-6864 ❑ _ ❑ . <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIER. DATE ROLL-OFFS) FLAT-BED VAN DRUMS ; <br /> El El <br /> I <br /> FORWARD INC. LANDFILL CUBIC YARDS <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 I <br /> L DISPOSAL.METHOD: (TO BE COMPLETED BY FORWARD)' i <br /> impairs the safe and effective operation of the Landfill. Forward shall use � <br /> Treasonable 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 j <br /> T weather or other site conditions, Forward shall notify the Disposer when t ❑ SOIL <br /> conditions are expected to change such that Forward will be able to a e t t <br /> the waste. ❑ SLUDGE I <br /> ` REMARKS 1 <br /> _. - NON-FRIABLE <br /> ❑ ASBESTOS 1 <br /> 'AGILITY7) , <br /> E- NUMBER <br /> • � WOOD <br /> i <br /> - / <br /> 1fSNATURE FTHOPILED AG NT DA E�. / U ❑ ASH I <br /> J-715 ❑ OTHER <br /> 3L.iEDULING MUST BE MADE PRIOR TO .00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE I <br /> SUBJECT TO REFUSAL UPON ARRIVAL.ONGOING DAILY,DELIVER IES�MLIST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> r0 SCHEDULE CALL (2091 982-4298 __ .. A w a n r <br />