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112 <br /> ,WWWARD F `• WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. {t) .-CAIS 4o6i <br /> IGENERATOR -`T, ^x « ; ,� ,;s ;,: ,�J1¢ REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> 6 � rEwAR� r - ,� „� E]GLOVES [:I GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> Lf r . -'� - ,-,' ""�",_ -, []TY-VEK [—]OTHER <br /> 455 W _---_^ �_==..—�+•...`.1�....se^__,.Ce...;Gri...�.r..� '-�cYa i ` <br />' CITY STl IPL 0 W E L L -AVE .--,, :t v�� w _.� .f, r r SPECIAL HANDLING PROCEDURES <br /> PHO IPCY CA 95357 � _ _ ,- <br />' , r.. _ J..a. ..- u .s♦ -t 4] •.x..r -L �.x.r.�=..r__-`e s 1 :.' J <br /> �9—i33--5148 <br /> CONT CT PERON <br /> SIGNAJbRE OF AUTHORIZED AGENT'/ TITLE DATE <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br />' • ❑ DISPOSAL SOIL p WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> i [] OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> 4 14= 1!T l T Tti4;Y , CA 14 (209) 982- 1009 FAX <br /> AME NOTES TRUCK NUMBER <br /> 91,'3 ',,1LTC ,1 TRUU',CI IG <br /> DDRESS ' <br /> . CITY STATE ZIP <br /> I t 1 aT � , fJa <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> © ❑ ❑ <br /> SIGNATURE OF AUT, RIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> * 'Q iiia err �70- 0;'-�'? 11 ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste if weather or other � <br /> conditions impar 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 STOCICPIt� 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 /> conditions are expected to change such that Forward will be able to accppf-- <br /> the waste SLUDGE <br /> + REMARKS <br /> NON-FRIABLE <br /> ❑ ASBESTOS <br /> FACILJTY TICItC T NUMBER � <br /> 1 ❑ WOOD <br /> _ SfGNATURE ASF AUT RI ED AGENT ;' DATE ' <br /> ASH <br /> ��✓moi �"'r1� r ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIO,PpTO 400 PM 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 # C 5432 <br /> GENERATOR COPY <br />