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RWARD <br /> - Ivvlv-nr+�r+nvv�� vtfn.i I I- tvtntvtt L.v t - <br /> • WASTE TREATMENT AND DISPOSAL FACILITY <br /> IF <br /> JOB ACCEPTANCE N0. T- cNMr- aasi`-f y 3��asd <br /> GENERATOR _ _ -• REQUIRED PERSONAL PROTECTIVE EQUIPMENT _ <br /> RESSTE-WART _ ._ l [3GLOVES <br /> GOGGLES []RESPIRATOR []HARD HAT <br /> WG ADDS ❑ -VEC ❑ <br /> _ <br /> 452 W. LOWELL-AVE. �_ SPECIAL HANDLING PROCEDURES <br /> CITY,STATE,ZIP `; - _ <br /> TRACY, OA 55367 <br /> PHONE <br /> 209-835-5.148 _ <br /> CONTACT PERSON <br /> WILLIAM STEdART r-- <br /> SEGNATURE OF AUTHORIZED AGENT/TIRE DATE <br /> �k.� hrG+�ci -�r+t -g -q r� S71-0 G le 1 L <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 /> ` OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> 15 t 11 � T (209) 982- 1009 FAX <br /> T "%Y , C,+ <br /> E NOTES TRUCK NUMBER <br /> PIC-1 HA'li! -10 ! TR 101<I^IG '� -om7 <br /> DRESS 9a7 <br /> i�? I,jE AEE LilA0 =5 <br /> CITY,STATE ZIP <br /> 1,j- E-zT -1 4 3 3 <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> SIGNATURE O AId,7HORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> le— <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; E310 AERATE STOGKi'ILE OTHER <br /> reasonable efforts to promptly notify Disposer of its inabl�ty to accept the <br /> waste for any reason It Forwards refusal to accept the waste is based on ❑ L� <br /> weather or other site conditions Forward shall notify the Disposer when site <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste ❑ SLUDGE <br /> REMARKS <br /> -� NON-FRIABLE <br /> ❑ <br /> FACILITY TICKETASBESTOS <br /> �NUMBER ��' �1 <br /> ` I ❑ WOOD <br /> SIGNATURF�OF AIL!71HORIZ�D AGENT %' DATE <br /> %' f ❑ ASH <br /> ❑ OTHER <br /> CHEDULING 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 13E SCHEDULED WITH THE LANDFILL THE DRAY BEFORE <br /> 0 SCHEDULE CALL(209) 982-4298 MANIFEST # 27700 <br /> GENERATOR COPY <br />