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k1 —1-J-4—-L r lc :�rr-tl r-ROrI HHHLEY&'SONS TO 12095690295 F 04 <br />' "WARD NUN-HALAHDUUS WASTE MANIFEST <br /> � WASTE TREATMENT AND DISROSAL FACILITY 1� . JOB ACCEPTANCE NO. -.- 5836-71 <br /> GENERATOR i <br /> BANK OF STOCKTON REQUIRED PERSONAL PROTECTIVE]EQUIPMENT <br /> MAILING ADDRESS ❑GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD HAT <br />' <br /> P -0- BOX , 1 X 10 ❑TY-VEK ❑OTHER <br /> CITY,STATE.Zip' SPECIAL HANDLING PROCEDURES t <br /> STOCKTON, CA 9( 20 52T <br /> 1 { <br /> 3 ! 5 <br /> CONTACT'PERSCN ';+ <br /> E <br /> SIGNATURE 6117` ORIZl=0`A NT 1 T17LE ' DATE <br /> WASTE I TYPE <br /> y RECEIVING FACILITY r <br /> ❑ SLUDGE <br /> ❑ TREATMENT`SOIL <br /> • ❑ DISPOSAL SOIL ❑ NON-FRIABLE ASBESTOS WOOD FORWARD INC. LANDFILL <br /> ❑ CONSTRUCTION SOIL ❑ <br /> .. E❑ ASH 9999 SOUTH AU �7IN ROAD <br />' . I ❑ OTHER MANTECA, CALIFO NIA 95336 <br /> GENERATING <br /> STIE ADD RESS : �.>hxa t`s. �< (209) 982-429 PHONE <br /> 3430 so, gL DORADO (209) 982- 10 9 FAX <br /> STOCIKTON,j CA <br /> i <br /> NAME I , t NOTES <br /> MANLEY & SONS TRUCKING INC, TRUCK NUMBER <br /> ADDRESSr- 3 . <br /> 8896 ELDEP, dREEK ROAD <br /> CITY, STATE,ZIP I s <br /> SACRAMENTO, CA 95828 <br /> PHONE : END DUMP BOTTOM DU P TRANSFER <br /> ­ <br /> ENI <br /> 916 j 381-6864 ❑ <br /> SIGNATURE OF A�ORIZED AdENT OR DRIVER DATE ❑ ❑ <br /> ROLL-OFFS) FLAT-BED VAN DRUMS <br /> I ❑ ❑ i ❑ ❑ <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> I <br /> ForwarCi shall'have no ofafx3atron to accept the waste it weather or other S YARDS <br /> conditions impair the safe and effecbve disposal of the waste or if the waste <br /> impairs the safe and effective operation of the Landfill forward shall use DISPOSAL METHOD (TO 8E COMPLET=' Y FORWARD) <br /> reasonable efforts to promptly notify Disposer of its inabddty to 200ept the DISPOSE 810 AE}� <br /> waste for any reason If Forward's refusal to accept the waste is basad on 5, RLE OTHER <br /> weather or other site conditions Forward"I notify the Disposer when site ❑ SOIL <br /> conditions are expetted to change such that Forward will be able to accept <br /> the waste <br /> REMARKS ❑ SLUDGE <br /> - i <br /> 4 FACILITY,TICKET NUMBER` ' �" ` " ' �,> F ❑ ASBESTO�SLr: <br /> SIGNATURE`OF AUTHORIZEla AG�h]T �Y;%'«r^ 1'r l , ❑ WOOD <br /> ❑ ASH <br /> ❑ OTHER <br /> SCHEDULING!MUST BE MADE PRIOR TO 4 40 P M. THE DAY PRIOR TO EXPECTED ARRIVAL ANY UNSCHEDULED LOADS ARE <br /> UBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST 8E SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> SCHEDULE CALL(209)982-4298 <br /> MANIFEST # 4228 <br />