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I-WWI& WAND WASTE TREATMENT AND DISPOSAL FACILITY <br /> 1 ' <br /> '� JOB ACCEPTANCE NO . �x,> . �� �- .�, .� <br /> GENERATOR _ Y REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> WILLIAM S T E W A R T _z _ _ ❑GLOVES []GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> (LING ADDRESS tib' _ ❑TY-VEK ❑OTHER <br /> 452 W. L O W E L L AVE: _ _ SPECIAL HANDLING PROCEDURES <br /> CITY,STATE,ZJP 24' <br /> • TRACY, CA 953671;r i- <br /> PHONE = <br /> 2179-835-5148 <br /> CONTACT PERSON- - <br /> WILLIAM STEWART_- __ �,7'C)Cjq P (L� <br /> SIGNATURE OF AUTHORIZED AGENT/TITLE DATE <br /> +1/ _ t, 7 <br /> - <br /> WASTE TYPE RECEIVING FACILITY r <br /> ❑ 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 /> GENERATING FACILITY (209) 9824298 PHONE <br /> 'j 1!T'' S' (209) 982- 1009 FAX <br /> TgACY , CA <br /> AME NOTES TRUCK NUMBER <br /> DRESS ! `� <br /> 1336 0A1,1 -7 N'E AVE . L04D 73 <br /> - CITY, STATE ZIP <br /> C3E zTn <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> SIGNATURE OF AUTHORIZED AG�NT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> 7� nr,�✓�rr� f19 C�i. C Q Cg 9 s <br /> FORWARD INC. LANDFILL CUBIC YARDS <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 METHOD (TO BE COMPLETED BY FORWARD) <br /> impairs the safe and effective operation of the Landfill Forward shall use DISPOSE BIO AERATE STOCKPILE OTHER <br /> reasonable efforts to promptly notify Disposer of its inability to accept the <br /> waste for any reason If Forwards refusal to accept the waste is based on <br /> weather or other site conditions Forward shall notify the Disposer when ser <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste - - ❑ SLUDGE <br /> REMARKS <br /> NON-FRIABI_E <br /> ❑ <br /> FACILITY TICKET NUMBER ASBESTOS <br /> ff` ❑ WOOD <br /> SIGNATYJR ,OF ALYTHORIZP AGENT DATE <br /> �! ❑ ASH <br /> f <br /> ❑ OTHER <br /> P60MCHEDULING 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 MANIFEST # 27693 <br /> GENERATOR COPY <br />