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1- ORWt R• NON-HAZr "DOUS WASTE MANIFEST <br /> I•N.C O R P O R A T E " WASTE TRE, HENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. - 4 2 5- 1 <br /> „•„ _ REQUIRED PERSONAL:PROTECTIVE EQUIPMENT <br /> ,SOUTHLAND ST(.)R]-•. = I cf� r [:1 GLOVES ❑GOGGLES ❑RESPIRATOR [I HARD HAT <br /> IL1 Gj'ADD S "� 5 Axa.r - cr ".c '77 <br /> . ,..�. .. . : ._.._� . ... .rac3a�.v.w�aK,. ❑TY-VEK ❑OTHER <br /> 1399 NORTH NIA i N Ca NO Z Hct \I F. <br /> ST E `ZIP' SPECIAL HANDLING PROCEDURES: <br /> MANTECA. CA 9336 _ <br /> T .:7.3l:at.a.Odaledu�Awe+d4J ...... _. .✓uti' .. <br /> ( 206 ) 251-9155 <br /> BOB DENINNO <br /> SIGNAT„�,�UEO AUTHO IED AGENT/TITLE DATE „ <br /> >t <br /> WASTE TYRE RECEIVING FACILITY <br /> i.r.S...• .w...1:...L. Y.•tt1. L:M.. ..-N.w... .,..,..w..�.w.... ....:A 1.+N,...w..naal ll...,.c....,w. - .. .t:eMw.. .....•.....,x,.r.ix✓...IiGla......SLre.i...x. ♦K�:F,tw,.,1. 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 /> . ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GEN�ERATINGFACIUTY�_,.,. .. ..,,.,.. ..__. ,.�.M...� ..___w..._.... .._..,. (209) 982-4298 PHONE <br /> 1399 NORTH INIAIN C' NORTHGATE (209) 982- 1009 FAX <br /> MANTECA. CA <br /> NAME .Ut1 � 3 "NONUMBER, <br /> .: TES, <br /> .__ ._.. <br /> MANLEY & SONS TRUCKING , INC' . <br /> �'^""^ �� �� r”"�7`'i`R'.-"'•. M7�` "y—p.. .s.nS'�+�;9wC' . ...,�..� LIPAO GU V .�2_ <br /> 8896 ELDER CREED LOAD <br /> CIT <br /> SACRAMENTO. C;A „'--)56 2 8 <br /> END DUMP. BOTTOM DUMP ., TRANSFE r at <br /> ( 91 6 ) 381-68t)4 ❑ ❑ <br /> --T---�-�—�-- --__•_ - ��;�„ ,; VAN y x.iDRU <br /> RATE <br /> SIGNATURE OF.AUTHORIZED AGENT OR DRIVER DATE 3:" ROLL-OFF(S)' FLATBED _, w� <br /> / CUBIC YARDS <br /> - <br /> FORWARD INC. LANDFILL i6 6 YARDS <br /> 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:COMPLETED BY:FORWA� D); <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 DISPOSE ••BIO. AESTOCKPILE OTHER. <br /> DR <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 r � <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste. ❑ SLUDGE <br /> REARKSt -�,x1 <br /> NON-FRIABLE <br /> FACILITY,TICKET NUMBER�w _ _ • •- ❑ ASBESTOS <br /> ._ _ _,__.. ❑ WOOD <br /> SIGN URE OF, UTHORIZED AGENT;. „ , DATE <br /> /1 ❑ ASH <br /> ��� C���,c� �fQ ❑ 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 / .. 25 4 <br />