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"AEPTANCE NO. <br /> GENERATOF 'ixe5.�sr :`„ REQUIRED:PERSONAL PROTECTIVE EQUIPMENT <br /> u L f41-f'? _ 1/�C. [-]GLOVES ❑GOGGLES ❑RESPIRATOR [I HARD HAT <br /> ❑TY-VEK E]OTHER <br /> SPECIAL HANDLING PROCEDURES_ <br /> i ;:PERSON =.F <br /> obs.r f,:..- . .. r <br /> S F;AUTHORI&O'-'1GENT"!TITLE.:: DATE <br /> * � 1 94 b <br /> • .WASTE TYPE RECEIVING FACILITY <br /> F] 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 /> I GENERA-PNG-FACILCiY:;;;:,,::._ :. (2 09) 982-4298 PHON E <br /> (209) 982- 1009 FAX <br /> o2 v c 1 z-K I .( <br /> NAME S - TRUCK NUMBER <br /> ADDRESS r_z <br /> STATE. P <br /> BOTTOM DUMP TRANSFER <br /> .� ❑ ❑ <br /> SIG E OF AUTHORIZED AGENT R DRIVER ' DALE' ROLL-OFFS) FLAT-BED VAN 1'•: UMS <br /> ,� ❑ p ❑ p <br /> CUBIC.'=YAR •.4 •:�;=°�?��-:;' ,•::.,... �... <br /> FORWARD INC. LANDFILL <br /> Forward snail have no obligation to accept the waste if weather or other <br /> conditions impair the safe and affective disposal of the waste or if the waste DlS.-... ETIHI ,:' �TQ•BE:COM:. D ;c.FO RD) <br /> impairs the safe and effective operation of the Landfill. Forward shall uae $ '` `^` 7 <br /> reasonable efforts to promptty notify Disposer of its inability to accept the ..:- a '`810: - ^� <br /> waste for any reason. if Forward's refusal to accept the waste is,based on OIL <br /> u weather or other site conditions.Forward shall notify the Disposer when site <br /> • conditiona are expected to change such that Forward wilt be able)o accept <br /> the waste- yYywg` ❑SLUDGE <br /> ncary L.w� �'yv;%• •. NON-FRIABLE <br /> .r r. -r. ❑ ASBESTOS <br /> FACIC:tTY��1�10ET':NCJNIH�R=`�.: . ., _ �r"::�:-- �:.:�+:•"�:,;,:, <br /> WOOD <br /> SaG.. "OF AU�FIQ ENT; s��° :•.: ••',• DATE`•"�_ -- �: <br /> .� ❑ ASH <br /> _ ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4-00 P.M THE DAY PRIOR TO EXPEC?ED ARRIVAL ANY UNSCHEDULED'LOADS AF <br /> SUBJECT TO REFUSAL UPON ARRIVAL-ONGOING DAILY-DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFOR <br /> To SCHEDULE CALL(209)992-4298 MANIFEST # 64801 <br /> ., GENERATOR COPY <br /> v <br />