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FORWARD . w�)� <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> TCA <br /> 14 ACCEPTANCE NO: r3 °406 <br /> r nI•� X <br /> GENERATOR ,j - _ v_ REQUIRED PERSONAL PROTECTIVE EQUIPMENT _ <br /> II S T EW A R T [:]GLOVES [:IGOGGLES [:]RESPIRATOR ❑HARD HAT <br /> 1LIG�b�S r _ _ _ _ ❑TY-VEK ❑OTHER <br /> LOWELL-AVE - - - --ti•- SPECIAL HANDLING PROCEDURES <br /> CITY, A E, P <br /> TRACY, CA 95367 <br /> PHO' _ <br /> 22pp1-4 <br /> CONTAC�4FSW 8 <br /> A - <br /> W�ILIkSAM STEWART <br /> SIGNUR F AUTHORIZED AGENT/TITLE DATE <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> ❑ DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> Q OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> _5 .j 1-Ti ST, (209) 982- 1009 FAX <br /> I i=v f C" <br /> E NOTES TRUCK NUMBER <br /> R11: I4,i—_LTD1 : Tql'CK1 <br /> ADDRESS t <br /> 1336 PAULINE AVE . LUA7 <br /> CITY, STATE, ZIP <br /> ''It7��E„ I _ , '1 i I�J5a <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> ?, ';;'" —tel ;,. ❑ ❑ ❑ <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obtigahon to accept the waste if weather or other f D <br /> conditions :mpatr the safe and effective disposal of the waste or it the waste DISPOSAL METHOD (TO BE COMPLETED BY FORWARD) <br /> impairs the safe and effective operation of the Landfill Forward shall use — 1)18PO5E BIO AERATE STOCKPILE OTHER <br /> reasonable efforts to promptly notify Disposer of its inability to accept the <br /> waste for any reason If Forwards rafusal to accept the waste is based on <br /> weather or other site conditions Forward shall notify the Disposer when sifts ❑ SOfL <br /> conditions are expected to change such that Forward will be able to_accept <br /> the waste _ ❑ SLUDGE <br /> REMARKS <br /> NON-FRIABLE <br /> ❑ ASBESTOS <br /> FACILITY PCI�ET NUMBER <br /> r ❑ WOOD <br /> SIGN&UAE fJF AUTHORIZED ENT r DATE ❑ H <br /> J ' I <br /> ❑ OTHER <br /> CHEDULING MUST BE MADE PRIOR�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 />�O SCHEDULE CALL (209) 982-4298 MANIFEST # 27692 <br /> GENERATOR COPY <br />