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FORA�A -DOUSVVASTE MANIrEST <br /> I.:\' C O R P O R A T WASTE T1 I MENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. - ;4 2 5-_ '1 <br /> GENERATOR,.,, ; ;, w_;.. REQUIRED PERSONAL PROTECTIVE_EQUIPMENT1-'-. <br /> OUTHLAND STORI. []GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> UG_A.0K RESS_,.�,._.�.,.- ....• _..._ ..�. ❑TY-VEK [:]OTHERN <br /> 1391-1 N(fRTH MAIN Cw Nt RTHG ATI <br /> �- - ?- SPECIAL HANDLING PROCEDURES: <br /> MANTECA , CA 95336 <br /> ( 206 ) 2_5'}J -91 j_; <br /> BOB DEN I NNC) <br /> ��qE AUTHORIZED AGE T/,TIT,LE DATE <br /> _WASTE TYPE RECEIVING FACILITY <br /> R..._.. a+....L..,...........+.....a:a...s_..h' .. ..:_............4'...s......-,..w...L.:.w. ,.,._. .. ._. ,.., .. ..: ..... :.,.. . .......r..wwF w-a+.s...+...ea.w..u1.A,. <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;FACILITY -_ (209) 982-4298 PHONE <br /> zW <br /> 1399 NORTH MAIN (<v NGRTHGATE (209) 982- 1009 FAX <br /> MANTECA, CA <br /> AME, TES ,., TRUCK. „ <br /> NO <br /> 1.1 AN LEY & SONS I RTIC NG INC .:ADDRESS' t 11 C • I (o�� ��� - 9 <br /> 5896 ELUER CREEK P.UAU <br /> CITYSTATE,ZIP ,,......,.�::: �. _•.:__ ,._.. ... _.. ..... .�.�,_.... .�. l V v �a l l <br /> SACRAMENTO. CA h S 2 S <br /> ,,....BOTTOM DUMP TRANSFE j' , <br /> ('916 ) 381 -6864 E E <br /> :SIGNATURE OF AUTHORIZE A ENl'OR DRIVER DATE 'ROLL- FF S) FLAT-BE_ D <br /> ,y �a L __rx.r u•u. .. .�. .aJ.,c..1u'...k..�. of d�..tl{{ti1i- -.r <br /> ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> 1 c, JA KD S <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.COMPL:ETED,BY•.FORWARD): <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 _ DISPO. E B_LO` AERATE_ STOCKPILE THE,R11 <br /> waste for any reason. If Forward's refusal to accept the waste is based on - <br /> weather or other site condipons, 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 /> ❑ NON-FRIABLE <br /> ASBESTOS <br /> ❑ WOOD <br /> SIG T �AUTHORIZE T /- DATE <br /> ❑ ASH <br /> -� / `� /� ❑ OTHER <br /> SCHEDULING MUST BE MADEIPRIOR 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 2 � 2 S 4 <br />