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FORWARD' � IVUiV—I-IHLHriUVUJ YVHJ I C IVWIVfrCJ I <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> INC. - <br /> JOB ACCEPTANCE N0. (T-) cMM 4061 <br /> GENERATOR - _ e`= .:.r�., _,_ _ REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> WILLIAM STEWAR.T x�� _ _ _ ❑GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> ILMG�DDRESS , �,_� _j "_ _ ❑TY—VEK []OTHER <br /> 452 W_ LOWELL AVE. _ SPECIAL HANDLING PROCEDURES <br /> CITY.STATE.ZIP <br /> • TRACY,_ CA.95367 <br /> PHONE <br /> 209-835-5148 <br /> CONTACT PERSON / <br /> r WILLIAM STEWART � <br /> SIGNATURE OF AUTHORIZED AGENT/TITLE DATE <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 /> T15 " , 1 (209) 982- 1009 FAX <br /> ME NOTES TRUCK NUMBER <br /> _ 1H i,4A11!LT0rI <br /> DDRESS �✓ <br /> 133 0 A U L I I A'!—c <br /> CITY STATE ZIP <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> 10 0 <br /> SIGNATURE,OF AUTHORIZED AGENT,GF-DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <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 Bf0 AERATE STOCKPILE OTHER <br /> efforts to promptly notify Disposer of its inability to accept the <br /> waste for any reason If Forward s refusal to accept the waste is based o SOIL <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 /> FACILITY/TICKkT LEDAER AseEsros <br /> ❑ WOOD <br /> SIGI�AT RE AUTHO,IZED JGENT DATE <br /> j ❑ ASH <br /> E] 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 BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> I TO SCHEDULE CALL (209) 982-4298 <br /> GENERATOR COPY MANIFEST # C 5 442- 9 <br />