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\BE NON-HAZAF�OUS WASTE MANIFEST <br /> F0P`_. ARLe <br /> 'r VI I N C,9' .: P O R A T E D WASTE TREATMENT AND DISPOSAL FACILITY <br /> I <br /> JOB ACCEPTANCE NO. _ 46 3)8 1 <br /> 3 <br /> VENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT.: <br /> SRE 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 /> i <br /> DUBLIN . CA 94568 <br /> PHONE I <br /> .a <br /> ( 510 ) 529-8491. i <br /> CONTACT PERSON !. <br /> DON ;HOF MAN <br /> SIGN TPRE OF ALIT H n,R E I`NT /TITLE DATE <br /> • WASTE TYPE RECEIVING FACILITY: <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • ❑ DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> • ❑ OTHER MANTECA, CALIFORNIA 9.5336 : <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> VACANT LOT # <br /> 835 W. CLOVER ROAD (209) 982- 1009 FAX <br /> TRACY CA <br /> AME tY NOTES: :._< TR UCKNUXBER, - <br /> MANLEYy & SONS. TRUCKING, I NC. <br /> ADDRESS <br /> 8896 <br /> 5896 . ELDER CREEK ROAD 1 <br /> . CITY,STATE,ZIP <br /> SACRAMENTO, CA.. 95323 . <br /> • PHONE ' „ a END❑DUMP BOTTOM DUMP yTRANSFER <br /> ( 916 �1-6864 <br /> IGNATUR . O AUTHORIZED AGENT OR DRIVER: DATE ROLL-OEF(S) n�>" "FLAT-BED-" a,'VAN DRUMS i <br /> /0 �7 11 El 0 ❑ <br /> jj <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 DISPO,SAt"ME7 THOD. " `; (TO BE COMPLETED BY FORWARD) <br /> impairs the safe and effective operation of the Landfill. Forward shall use <br /> reasonable efforts t6 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 It--11 SOIL <br /> weather or other site conditions, Forward shall notify the Disposer when si L_1 <br /> conditions are expected to change such that Forward will be able to acceptt i <br /> the waste. ❑ SLUDGE <br /> ,REMARKS a <br /> NON-FRIABLE <br /> ❑ ASBESTOS <br /> FACILITY ((--:KEN,UMBER : . ' <br /> 41Z <br /> WOOD <br /> E F AUTHD/'AGENT ` DATE .A <br /> SH <br /> ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR T 4:O6 P.M. THE DAY PRIOR TO EXPE D ARRIVAL • ANY UNSCHEDULED LOADS ARE.' <br /> IBJECT TO REFUSAL UPON ARRIVAL-.ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY <br /> J SCHEDULE CALL (209)982-42`958 a1 <br /> TRANSPORTER COPY . MANIFEST # C 11484 - <br />