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FORW-Ai) �JOUS WASTE M�Ni�-S T <br /> I iN C O R I' D R A iJ WASTE TF MENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. — 5 4 2 5—- 1 <br /> REQUIRED PERSONAL PROTECTIVE EQUIPMENT, <br /> SOUTHLAND STORE ;; 199_6 ❑GLOVES F]GOGGLES []RESPIRATOR ❑HARD HAT <br /> MAILING'ADDRES§"` ­` _ � ,......�_. ._ ❑TY-VEK [:]OTHER <br /> l 4.9 Nt�I�TH �i 1 T\ ce' NOl''1'7[G:1'I l SPECIAL HANDLING PROCEDURES: <br /> CITY STATE .ZIP � ' <br /> • 1,IANT FCA . CA 9 j :i;)0. <br /> ( '06J. 251 -91�,_5 <br /> �yl'r'Y K <br /> �B—OB DF..N I.NNQ _ <br /> SIGNATURE OF�AUTHOR EDA ENT/TIT DATE { <br /> • 'WASTE'TYPE - RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • ❑ DISPOSAL SOIL ❑ 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH ASH <br /> OTHER MANTECA,wCALIFORNIA 95336 <br /> GENER,TINGFACILITY`; M (209) 982-4298 PHONE <br /> 1399 NORTH MAIN NORTHGATE (209) 982- 1009 FAX <br /> MANTECA . CA <br /> NAMENOTES: TRUCK NUMBER <br /> _ .. _ ,. . <br /> AtANI LY .5 _ScQN` ..TPUI KING INC <br /> ADDRESSL; `; <br /> 8�46 _.ELDER C REFI : R )AD <br /> Kit. � V F-) 5 02- <br /> CITY,�STATE ZIP, .va ..__. .� _ �:,...:.. _.� .. <br /> 02- <br /> SACRAMENTO.ENTO. CA �� � ,_s _. ___. ._... <br /> P,,HONE.. END DUMP BOTTOM DUMP. :..�,,WTRANSEEL..�Z'. <br /> SIGNATURE,OF AUTNRIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN, , f DRU(y1S . <br /> El El El El <br /> FORWARD INC. LANDFILL CUBIC YARDS �;, , � i,,, � <br /> i ti.�i:i:is <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 DD: l (TO BE COMPLETED BY FQF�WARD}` <br /> impairs the safe and effective operation of the Landfill. Forward shall use 1.; :,•.; <br /> reasonable efforts to promptly notify Disposer of its inability to accept the DISPOSE BIO AERATE STOCKPILE\"", THER is <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 <br /> conditions are expected to change such that Forward will be able to accep <br /> the waste. ^ ❑ SLUDGE <br /> NON-FRIABLE <br /> _ __ 1 ❑ ASBESTOS <br /> FACILITY,; ICKF,j; MBER <br /> / . _ / ❑ WOOD <br /> SIGNAT RE.O Ul'HOF IZED� E DATE' <br /> . .. . , I ❑ ASH , <br /> f ❑ 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 26263 <br />