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F 0 1OO51' N WASTc I'At��NIFESTR R I ) <br /> V� INC O IZ P O R A T L WASTE TR MENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. — =4' -7 1 <br /> GENERATOR.. _mac <br /> REQUIRED PERSONAL.PROTECTIVE,EQUI.PMENT .+ , _•' <br /> S0UTHLA14D 5 I u i'.1 = 1 ,{`l t, [:]GLOVES ❑GOGGLES []RESPIRATOR ❑HARD HAT <br /> MAILING A D ER-SS ;�..:i ,, ; _ ,,, ❑TY-VEK ❑OTHER <br /> �d <br /> 1399 NORTH MAJIa V+�t` r1h.1 H+a 111 <br /> SPECIAL HANDLING PROCEDURES: <br /> C: STATE;Z�Z-1-P112616' <br /> MANTECA. CA 9 33u <br /> ( ?Ub ) <br /> T <br /> BOB DENINNO <br /> •OF�A�ORIZED�AGENTY%� ITL"ET**�`��fDA'�E (��'''�=' �r <br /> A E RECEIVING FAILITY <br /> 'TYPE" :,, R ,�.�u�` C <br /> 'a.YPu...i:��.4�ul r:aa <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • ❑ DISPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD t{ <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 . <br /> GENERATINGFACILITY �y _ (209) 982-4298 PHONE <br /> 1399 .NORTH NIA1N @ NO1{THGATE (209) 982- 1009 FAX <br /> MANTECA . CA <br /> NOTES:. <br /> NIANLEY & SONS TRUCKING , INC. <br /> 8896 ELDER CREEK .ROAD <br /> �Cl•Y TATE,ZIP w -" ,,,� ', _ <br /> SACRANILNTO . CA <br /> PHONE`'kms" X Y END DUMP BOTTOM DUMP, TRANSFER' <br /> ( 916 ) 381-68640� ❑ � <br /> SIGNATUR�;� O AGTHORI`ED GENT OR DRIVER DATE a ROLL❑OFF(S) FLAT-❑BED _ VA❑N,^ DRU❑MS <br /> FORWARD IN'C.LANDFILL CUBIC YARDS <br /> J11 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 BYFORWARD) <br /> impairs the safe and effective operation of the Landfill. Forward shall use <br /> reasonable efforts to promptly notify Disposer of its inability to accept the _ SPOSE BIO AERATE STCCKRLE OTHER;: <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 sit <br /> conditions are expected to change such that Forward will be able to accep <br /> the waste. SLUDGE <br /> -- NON-FRIABLE <br /> ......... ❑ ASBESTOS <br /> FA IC LITYrY(C' ET.N <br /> ❑ WOOD <br /> S G -TU E UTH RIZED AG DATE.,,`* . <br /> .� � .___..._... T ,......_._, \ - - _ <br /> E] ASH <br /> C' <br /> I ❑ OTHER <br /> SCHEDULING MUST BE MADE PR16R 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 TRANSPORTER COPY MANIFEST # C 7 ' 27 8 <br />