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OW�lI1r ' i`�vN-�r,Lr1�DvuS WASTE MANI' ESQ <br /> �+l INCORPORATL WASTE TR MENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. - 5 4 2 5-- 1 <br /> REQUIRED PERSONAL.PROTECT IVE.EQUIPMENT;' .:;.77_ <br /> i <br /> SOUTHLAN1j S-101,1: - 1 + []GLOVES F-1 GOGGLES E]RESPIRATOR ❑HARD HAT <br /> 1LING;ADDRESS u_ _ .,., u ,'.., .r'.` ❑TY-VEK ❑OTHER <br /> �. <br /> 1399 NOR'Fli t,l.Al ,� NIO THG V -F: <br /> SPECIAL HANDLING PROCEDURES: <br /> MANTECA, CA 9 5 3 3 u <br /> ,.,..... �, tA.4iw.., ... _s.n.:a.,it/v.:wr.S1i,..a;.dck.;�v,',i�s►4`.N.".'S�G�1 <br /> ( 206 ) 251 -91 ; <br /> ;CONTi4CER50Nt `.: <br /> BOB DENINNO <br /> 'SI R AUTHORIZED AGENT'/MTITLE DATE' <br /> 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 95336 <br /> GENERATING'FACIL.ITY ; (209) 982-4298 PHONE <br /> 1.399 NORTH MAIN 1N0KTFJ(;AT (209) 982- 1009 FAX <br /> MANTECA CA <br /> NAMEz�ir ,NOTES:.. . .«... TRUCK NUMBER,a u: <br /> MANLEY & SONS TRUCI.I NG . <br /> t .n n, <br /> 8896 ELDER CREEK ROAD <br /> � .�7-7 <br /> .'CITY,STATE,�ZIP,,;,•�,t,t,,,,�;. . -. ., ._:... _�.�.,_�. __. <br /> SACRAMENTO. CA 95 8 2 <br /> EN <br /> PHOISE� Y D DUMP BOTTOM DUMP ,, .,TRANSFER <br /> _ � <br /> ( 910- ) 381-6864 El ❑ <br /> SIGURE.OF AUTHORIZED AGENT OR DRIVER DATE w ROLL-OFFS) FLAT-BED , VANS ;�r DRUMS <br /> NAT <br /> FORWARD INC. LANDFILL CUBIC 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 <br /> '' OTHER <br /> reasonable efforts to promptly notify Disposer of its inability to accept the DISPOSE BIO AERATE STOCKPILE•_ . .. . ..-„ <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 <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste._ ❑ SLUDGE <br /> REMARKS:' r errs <br /> NON-FRIABLE <br /> /_� ❑ ASBESTOS <br /> ❑ WOOD <br /> ... . ... ........ . <br /> SIGNAT R „ . _ 146 1.2E ENT /,._ DATE <br /> / ❑ ASH <br /> i ❑ OTHER <br /> SCHEDULING MUST BE MADE 13RIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> TO SCHEDULE CALL (209) 982-4298 ,. r <br /> TRANSPORTER COPY MANIFEST # C 2 2 7 4 <br />