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if <br /> IM <br /> f Hr" �� = WASTE TREATMENT AND DISPOSAL FACILITY <br /> ' INC JOB ACCEPTANCE N0. CIM __::E44 z <br /> = 44z 408 61 APpENnTX B <br /> GENERATOR :'�3 :; ';`' _ s1'; REQUIRED PERS01VA1?�,g07E "�M <br /> s•S _ <br /> ' C_;L T R A,N S V []GLOVES ❑GOGGLES ❑RESPIRATOR []HARD H; <br /> MAILING AD[1RESS7- �,t sT r ,'�r�, ,,��'r�. ���� �� ❑TYVEK ❑OTHER ' <br /> 9 EQN 1Q4" •�� T SPECIAL HANDLING PROCEDURES <br /> 4 eu..�r�i\S@r4• �.w.x 2� a S <br /> rr G <br /> • O OCKTON , , r_ A,. ?s Q Frr . CLASS 11 <br /> DISPOSAL <br /> 2Uq : c '34-7406 <br />' CONTACT PERSONSYa <br /> CHARLESE BR01XN_ -IT—t, <br /> t_, __ <br /> r- <br /> SIGNATURE OF AUTHO IZE�AGENT/'T�;,;;� DATE <br /> PE,,-`:. - •� - �_ ___ - - RECEi11G FACiIJ�Y" ''"` ter _ �- <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> ❑ DISPOSAL 501E ❑ 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH ASH <br /> ❑ OTHER <br /> MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY {209) 98">-4298 PHONE <br /> L-�LTR 1'.S <br /> 160 ' :,u`TH B i; RLET (209) 982- 1009 FAX <br /> 1 S:,TOCKTON . rA <br /> NAME` wa. , NOTES rY <br /> JANLE1 &----SONS _TRUCKING,, _ INC. !j <br /> ADDRESS <br /> .::.�9 b -LDLR CREEk ROAD _ Y <br /> ■ CITY, STATE,ZIP <br /> PHONE END DUMP -_a O,TTOMP ._..P x, ` R- <br /> .3,31-6 o4 El ❑ <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-WS} `'�; BED„ia�#�►A� '- �NISr�%. <br /> El <br /> FORWARD INC. LANDFILL CUBIC YARQ@' -_13 <br /> _IS YARDS <br /> Forward shall have no obligation to accept the waste if weather or othed I I I <br /> conditions impair the safe and effective disposaLof the waste or if the waster/ DIF'OSAL MEIt;�D. <br /> impairs the safe and effective operation of the Landfill Forward shah �{s§ -:t STD }� Of1HER 1 <br /> reasonable efforts to promptly notify Disposer of its inability to acceR kI'& u, <br /> waste for any reason If Forwards refusal to accept the waste is based,Qn� w - <br /> weather or other site conditions Forward shall notify the Disposer when s' SOIL <br /> • conditions are expected to change such that Forward will be able to accept <br /> the waste <br /> ❑ SLUDGE <br /> � REMARKS <br /> NON-FRIABLE <br /> FACIU�Y TT( K <br /> -�r.,�+ NUMBER ❑ ASBESTOS <br /> r <br /> C) WOOD R OY AU*ORIZED ENV 1 -�` DATE - <br /> /' ❑ ASH <br /> ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR 4 00 P M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS AR <br /> SUBJECT TO REFUSAL UPON ARRle ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE lANDRILL THE DAY BEFORI <br /> TO SCHEDULE CALL (209)982-4298 MANIFEST# 2 + 3 2 V <br />