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�'"' _: <br /> �t38 AC�pTANCE NO. <br /> RE�UIFtED PERSONAL`PROTb TIVE EQUIPMENT HARD HAT <br /> GLOVES [3 GOGGLES <br /> []RESPIRATOR ❑ <br /> TY-VEK ❑OTHER <br /> j <br /> ss., At SPECIAL HANDLING PROCEDUR>rS: <br /> ••+ I �N;$-TATE,'"ZIP'_ <br /> E ,• /. <br /> CONTACT PERSON,: <br /> ��� <br /> ��rvl� +� <br /> OF AUTHORf D AGENT?I TITLE � . <br /> RECEIVING FACILITY <br /> • YVASTE rME•' <br /> SLUDGE FORWARD INC. LANDFILL <br /> lypN-FRIABLE ASBESTOS <br /> �] TREATMENT SOIL 0 Wopo 9999 SOUTH AUSTIN ROA 36 <br /> Ig+ <br /> • ISPOSAL SOIL ASH <br /> �] CotvsTRucTtioN SOIL � OTHER MANT�CA, CALIFORNIA 9 5 <br /> •• (209) 982-4298 pHON <br /> + GENERATING FACIuJr��r ''f�' (2 <br /> \ 982-1009 FAX <br /> M le p Ga <br /> 2r O Z !V, 61,-a . . ::., TftuCK NUMBER <br /> TE <br /> . NAME t <br /> 'CITY,STAM'ziol. /�'��` END QUMP BOTTOM DUMP <br /> DRUMS <br /> r PHONE'-.'. �'7. -'. r� .L RO aFF(S) FLAT-BED YQ <br /> SIGNATURE OF. tJTtiORIZED AGENT.OR•DRIVER <br /> DRi <br /> `" * CU8IC,YARDS <br /> F�� <br /> FORWARD INC. LANDFILL PL»D ey FOftv <br /> METHOD: • (TO BE COM, rn <br /> Forward shall have no obligation to accept the wastete ortiif therwaste DISPOS AEf E <br /> conditions lair the sate and effectir disPOSSI Of the tion of the Lendtlll. Forward shaii use <br /> p�ppSE 610 <br /> impairs the safe and affective �y ()isposer of its inability to accept the r <br /> j ��� efforts to Prompt bAsQd SOIL <br /> l on t <br /> f �hons,forward shall notify the p,gpoger when site <br /> v waste or any reason.if Forward's refusal to accent the waste r <br /> weather or oar site coed guch that Forward will be able to accept �-y SLUDGE <br /> 1 conditions are expected to charge L <br /> ! the waste: NON-FRIABLE <br /> ASSESTOS <br /> WOOD <br /> .FAC1LITKY <br /> r ETa WB'.. <br /> R1ZED AGES. " a ASH <br /> DQE <br /> C.{ OTHER <br /> .: D ARRIVAL • ANY UNSCHEDULED LO <br /> DFILL THE DAY <br /> BF MADE PRIOR TO 4 00 P M' THS DAY PRIOR 70 EXPECTE C a t <br /> SCHEflUUNG MUST REFUSAL PON ARRIVAL ONGOING DAILY DELIVERIES(MUST BE SCHEDULED THMANuw ST# 6 <br /> E O CALL(209)982-4298 <br /> GENERATOR COPY <br /> W <br />