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yWARD -� 1VVIY-I-EHLHI`�UVV5 YwN�71 C IVIHIVIrCJ I <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. (T) ; 'Y = <br /> ' r <br />' GENERATOR , _�1 >� ^;- ° �..a. _r_ REQUIRED PERSONAL PROTECTNE EQUIPMENT = <br /> IUW� STEAR.� - [-]GLOVES ❑GOGGLES []RESPIRATOR [:]HARD HAT <br /> IV 22 ___::tix�» _ :_ :� . , .� _ _t ❑TY-VEK [:]OTHER <br /> CITY ATE,I&P LOWELL AVE-._..,_,-,-e. _f�-�� SPECIAL HANDLING PROCEDURES <br /> + PHoN , tiw w� - _., ,rtry_ <br /> ,� f ter. ,f V <br /> ■ 22po SS <br /> CONTACT9PE�2N <br /> SIGNA�WYAUTSHOR ZED AGENT/TITLE J DATE L <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • <br /> E] DISPOSAL SOIL ❑ wooD gggg SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL C] ASH <br /> (� OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> TS V , 11' ST <br /> R (209) 982- 1009 FAX <br /> ME NOTES TRUCK NUMBER <br /> ;.IC'-i -iA 1ILTOfj T_�UC:I`IG <br /> DRESS }} 4� <br /> �j b P�-'LI L7 i s AVE i�Jr J�� J <br /> . CITY, STATE, ZIP <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> i,-, i- "lEl ❑ ❑ <br /> SiGRATURE OF AUTHORIZED AGE T OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> a2 0S <br /> 11 0 11 ElFORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste if weather or other <br /> l <br /> conditions impar 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 <br /> reasonable efforts to promptly notify Disposer of its inability to accept the DISPOSE BIO AERATE ISTOCKPLE OTHER <br /> waste for any reason if Forward s refusal to accept the waste is based on 0 <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 ace, <br /> the waste [] SLUDGE <br />` REMARKS <br /> ❑ <br /> NON-FRIABLE <br /> FACILITY� �IEKNUS Affn <br /> ASBESTOS <br /> /' ❑ WOOD <br /> SIGWATUR,E 01j�4UTHO�TIZED GENT / DATE <br /> C' ���--�����r ❑ ASH <br /> _� ❑ OTHER <br /> y <br /> CHEDULING MUST BE MADE PRIOR TO 400 P M THE DAY PRIOR TO EXPECTED ARRIVAL o 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 # C 5424 <br /> GENERATOR COPY <br />