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WARD I%j <br /> Y <br /> WASTE <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> 1Vr <br /> JOB ACCEPTANCE NO. (T) -CM It 4 0 ST i�2,,rj - <br /> GENERATOR - - REQUIRED PERSONAL PROTECTIVE EQUIPMENT _ <br /> t,IILLIAM STEWART _ _ ❑GLOVES ❑GOGGLES ❑RESPIRATOR []HARD HAT <br /> ILING ADDRESS ❑TY-VEK ❑OTHER <br /> 452 W. L O W E L L_ AVE * ?� - SPECIAL HANDLING PROCEDURES <br /> CITY,STATE,ZIP <br /> + TRACY, CA 93367 <br /> PHONE <br /> 209-835-5148 <br /> CONTACT PERSON- - _ - - x -- ~- L � , <br /> YJILLIAM STEWART <br /> SIGNATURE OF AUTHORIZED AGENT !TITLE DATE <br /> JASTE TYPE RECEIVING FACILITY <br /> SLUDGE <br /> TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> DISPOSAL SOIL F-1WOOD 9999 SOUTH AUSTIN ROAD <br /> CONSTRUCTION SOIL ❑ ASH <br /> �] OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> 3T (209) 9821009 FAX <br /> T',ACY , CA <br /> ME NOTES TRUCK NUMBER <br /> 4TC;4 IgAtiHIL T.3-i TRLlC';!.IG <br /> ADDRESS <br /> 13 r AULTOE AV= !JAIL rJ <br /> • CITY STATE, ZIP <br /> 1,-l"ESTJ , Cil �5J3S <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> - j,--578-410C Iq ❑ ❑ <br /> SIGr aT RE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> ❑ ❑ ❑ ❑ <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 it the waste DISPOSAL METHOD (TO BE COMPLETED BY FORWARD) <br /> impairs the safe and effective operation of the Landfill Forward shall use DISPOSE BIO AERATES7pCKPtLE 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 site- <br /> ­ <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 TICKET>WMBER <br /> —t ❑ WOOD <br /> SIGNATUAODF AUTHORIZED/AGENT f DATE <br /> ` 1 <br /> i~ /1 ❑ ASH <br /> f j <br /> ❑ 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 MANIFEST 027695 <br /> GENERATOR COPY <br />