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0- z ��� �� NON-HAZ,,,,DOUS WASTE MANIFEST <br /> INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY <br /> r <br /> JOB ACCEPTANCE N0. <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT; <br /> ❑GLOVES [:]GOGGLES ❑RESPIRATOR ❑HARD.HAT <br /> MA1LUG AU6r ESS ❑TY-VEK [:]OTHER <br /> CITY S �PBLIN BLVD. SPECIAL HANDLING PROCEDURES: <br /> • <br /> PH��E RRLIN. CA 94568 <br /> - <br /> COKITA�q PEES D% b 91 i <br /> .. F <br /> Opf D AGENT / TITLE DATE . <br /> WASTE TYPE RECEIVING FACILITYFj SLUDGE <br /> i <br /> i <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • ❑ DISPOSAL SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ASH <br /> .. i <br /> • ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE -> <br /> VACANT LOT (209) 982- 1009 FAX <br /> S-15 «r. CLOVER ROAD <br /> TRACY CA <br /> I <br /> NAME f? NOTES: TRUCK-NUMBERS <br /> MA'JLLEY & SONS TRUCKING, INC i <br /> ADDR�SS <br /> . . :8896 L-LDER. CREEK ,ROAD <br /> . CITK STATE,ZIP `3 <br /> S '1CRAMENTO, CA 9580-8 <br /> PHONE ;, END DUMP BOrTTOMDUMP ,TRANSFER; j <br /> ( 916 ) 3&-1-6864 / ❑ <br /> SIGNATU / AUTHOR ZE�AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BEDS VAN�'y <br /> E3 . . ❑ E3 . <br /> ❑ :1 <br /> �c �--- a <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' DISPOSAL METHOD:'' (TO BE.COMPLETED BY.FORWARD)'. + <br /> impairs the safe and effective operation of the Landfill. Forward shall use g <br /> reasonable efforts to promptly notify Disposer of its inability to accept the r, DISPOSE :BIO AERATE STOCKPILE x OTHER sd <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 -, <br /> conditions are,expected to change such that Forward will be able to accept <br /> the waste, ❑ SLUDGE i <br /> ` REMARKS ;, 1 <br /> ❑ NON-FRIABLE <br /> ASBESTOS <br /> FACILITY TICKET NUMBER <br /> _}. ; ❑ WOOD <br /> ..S 4A yyR��O THbRIZED AGENT DA E <br /> v ASH i <br /> � OTHER <br /> SCHEDULING MUST BE MADE PRIOR T6/4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE; <br /> SUBJECT TO REFUSAL UPON ARRIVAL:6NGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> —TO SCHEDULE CALL (209) 982-4298 TRANSPORTER COPY MANIFEST# C 11483 <br />