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NON-HAZ:=�RDOUS 'VAS T E MANIFEST <br /> ,),If FORWART�l % <br /> I-N C O R P O R A T E WASTE TR MENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. - 4 2 ;-- I <br /> GENERATOR,., REQUIRED PERSONAL PROTECTIVE EQUIPMENT ,;, ' <br /> A. _ - <br /> SOUTHLr1i`:D ST01'.I. 1 ���' �� ❑GLOVES ❑GOGGLES El RESPIRATOR ❑HARD HAT <br /> 9-11IN9;ADDRESS; '..... ......... . .,.. .. :r ❑ <br /> TY ❑OTHER <br /> _I 39_99 NORTH MAIN (31� Nt)F:'['1��� ATE �� <br /> CITY STAT , T" SPECIAL HANDLING PROCEDURES: <br /> ..r..�._.._a. �.r r�w. ...... � ,a.,.,, f. <br /> • MANTF,CA . CA 95336 <br /> vill, <br /> ( 206 ) 251-9155 <br /> y 1033 DIN I NNO <br /> SI TUR_ F AUTHORIZED;AGENT DATEf- , <br /> WASTE:TYPE f �' RECEIVING FACILITY. <br /> t....r.t.....a,....1-:1 w.ar«,6.�A..:t...d...-.. ........ ....'...:: ! .:;,..Y...,r.3.1, .. .. ..,. ... .. .. .w.- ......t,. ., i <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 /> • GENERATINGFACILITY (209) 982-4298 PHONE <br /> 1 99 NoR ii MAIN Nc:)RTIIGATE (209) 982- 1009 FAX <br /> MANTECA. Cry <br /> NAMES tl,... im Ai ak y+ F ��� <br /> TES:. T R U C NUMBE R <br /> MANLEI k SONS lRLCKING . INC <br /> ADORES '�s� n>K rra ,• ` <br /> 8896 ELDER CREEK _ <br /> 'CITY;STATE; <br /> SACRAMENTO . C:\ Q 5? _ <br /> END DUMP BOTTOM DUMP , TRANSFER . <br /> _(.9 16 ) JS I —(SS6- ❑ _...❑ <br /> SIG� IJRE"OF AUTHORIZED AGENT OR DRIVER DATE ''; ROLL-OFF(S), FLAT-BED""""" VAN`El <br /> ..,.�..,r . ❑ <br /> El <br /> :CUBIC YARDS „ _ V <br /> FORWARD INC. LANDFILL <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,-- RWARD);` <br /> impairs the safe and effective operation of the Landfill. Forward shall use a <br /> reasonable efforts to promptly notify Disposer of its inability to accept the DISPOSE BIO AERATE STOCKPILE_s OTHER <br /> waste for any reason. If Forward's refusal to accept the waste is based onm SOIL <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 /> ` �,,E;,MARKSy,� .r. ," : _: . . . . ,...1 J c,:.,w1,_..ld._•L ; ._. NON-FRIABLE <br /> ❑ ASBESTOS <br /> FACILITY Y KET A BEFj� f <br /> ._... - - / _ ❑ WOOD <br /> S Gt�1 <br /> OR 0 /IZEJJ�G< j DATE _ ; <br /> . ❑ ASH <br /> /� =� ,�1 — (_i ❑ 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 TRANSPORTER COPY MANIFEST # C 26273 <br />