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WARDNON-HAZARDOUS WASTE MANII-t51 <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. �T) CMM--- 4061 1 –7-1 1,. --:e,(,-So <br /> GENERATOR. r w, ,,, L •' �;: '.:_ - REQUIRED PERSONAL PROTECTIVE EQUIPMENT - <br /> f� ❑GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD^HAT <br /> NG � =.. „e�y ; =� .�t�_ 4 ❑TY VEK ❑OTHER <br />' CITY STA 2;; E - '- LOWELL-AVE, <br /> SPECIAL HANDLING PROCEDURES <br /> XR9X4XXX- TRAC.X-,__CA_ 95au__ <br /> _> -_ <br /> • PHONE 'r_t-'y ;;.I,--- I,_ _� *s�..x, _ <br /> Y7� $35-5148 T <br /> CONTAC..!! RS ppNI <br /> I NATJV A UTHORIZED AGENT/TITLE DATE S�v C� 4 jZ- <br /> i SG <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 /> • <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> 4,15 'Al . 1 ' T i (209) 982- 1009 FAX <br /> MF NOTES TRUCK NUMBER <br /> ,; r 'li H-S IF'TjN TR€JC%:fI3 <br /> ADDRESS �� <br /> 1.316 P ' ULT')E ,AVE <br /> . CITY,STATE ZIP <br /> PHO <br /> yNE END DUMP BOTTOM DUMP TRANSFER <br /> 70 <br /> SIGNATURE OFF ,�UTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> ' r r <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste if weather or other <br /> cond:hons 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 1' <br /> weather or other site conditions Forward shall notify the Disposer when site 0`S-OIL <br /> • conditsons are expected to change such that Forward wsli be able to accept <br /> the waste ❑ SLUDGE <br /> ` REMARKS <br /> NON-FRIABLE <br /> ❑ ASBESTOS <br /> FACILITY TICKET NUMBER <br /> r-. / �, Cl WOOD <br /> SIGNATUR 'OF THO [ZED/AGENT I DATE <br /> E] ASH <br /> V L��{ ����"� �� r��- ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOFj,TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> SUB.IECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> t TO SCHEDULE CALL (209) 982-4296 MANIFEST # C 5426 <br /> I GENERATOR GOPY <br />