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FORWAR i"4'GN-Hk "1'�DCUS WASTE MANiFES I <br /> Vo I fN' C OR I' O R A TL _, WASTE TR. MENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. — 4 2 -71 <br /> GENERATOR „� ,, _ . _;,, •_ _ REQUIRED PERSONAL PROTECTIVE,EQUIPMENT ,,,, ,' <br /> SOUTHLAND STU1C,. i '_ []GLOVES []GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> WILING:ADDRESS ❑TY-VEK [:]OTHER <br /> Y�.1. <br /> 1399 NORTH MAIN tS- :v'llP I�Fi0 AI F <br /> SPECIAL HANDLING PROCEDURES: <br /> MAN'rECA, CA 9 51') <br /> ���r."Sw`.vaaa;ir:�:'ct4'.�a�'�.a' �, __. . .. ...., .,_.:,,od.'�...�u' "t '�C�G:4►a^.a:. <br /> i2106 ? 51 -915� <br /> DONT I ERSON x <br /> BOB DEN I NNO <br /> SIGE OF,AUTH til ED AG <br /> WASTET,YPCEIVING FACILI <br /> E RETY *' <br /> r ^`.�:-I..fiw.:.....i cw. ......t.,w:._....•r.w:L4:.rr........a:Ls.i.wawAA:rta!3.i:.c.. ....-. ._...:.:.:e-:.u.:i.:......,,LT.:.i.:•..w....ac.,..l>t..:w.aa.'...J.r.. <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • ❑ DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> s ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GE�IERATINgfACILITY (209) 982-4298 PHONE <br /> 1399 .NORTH nIAIN Ca- NORI'll 61:>'.TL (209) 982- 1009 FAX <br /> MANTECA. CA <br /> M �'tx'' �' � _. .. ...• * NOTES: . TRUCK NUMBER <br /> .wh.Y4ti...aw.lvYt.. ,:.4.�...i..ldti:u..uu .. ..... -.._. ..elM.a:..-..._.. <br /> MANLEY & SONS TRUC'h1NCG , iNC �L�77 <br /> Eia l�aSrr+p12..-.. oY x -.Y. <br /> 5896 :ELDER CREEK ROyD <br /> CITI STATE 171 <br /> SACRANIFNTO. CA 9 S t 8� <br /> RHONE«,..°: ' ` t.a>r:bn ise:So.t...i ,. r e END DUMP. . BOTTOM DUMP., . ;t'tTRANSFER.. <br /> ('9161 381 -686.1 _ ❑ ❑ <br /> ROLL-OFFS) FLAT-BED-y� , _VAN,F,",;DRU. �SS ' <br /> S G ATURE.OF=AUTI�iORIZED AGENT OR DRIVER1. DATE,,; <br /> ❑ ❑ ❑ . <br /> FORWARD INC. LANDFILL cua�c 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.8 bRWARD)'r. <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 _ D SPOSE BIO AERATE STOCKPILE :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 site SOIL <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste. ❑ SLUDGE <br /> • REMARKS T: �J - 7-7- <br /> "'— NON-FRIABLE <br /> ❑ ASBESTOS <br /> CI�r.ITY;P CKET <br /> ` � `� - - ❑ WOOD <br /> .SIGN T RE OF'AUTHORIZED.AGENT I DATE <br /> ASH <br /> L ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR 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 <br /> TRANSPORTER COPY MANIFEST # C ^2 5 6 <br />