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waRiuWASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE N0. F(T) CMM-4061 <br /> • ,Y <br />' GENERATO _ - _ REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> WILLIAM S T E W A R T - ❑GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> ILING ADDRESS - ` , r_, _;� [:]TY VEK []OTHER <br /> 452 W. LOEWLL AVE . <br /> CITY STATE,ZIP SPECIAL HANDLING PROCEDURES <br /> • TRACY, CA 95387 <br /> PHONE <br /> 209-835-5148 <br /> CONTACT PERSON- x n <br /> WILLIAM STEWART _ �"�"�G2C�" 1 LE <br /> SIGNATURE OF AUTHORIZED AGENT/ TITLE DATE <br /> .. * -Y� <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 /> fp OTHERdb MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> `11 II.1 ' "� ') ` (209) 982- 1009 FAX <br /> f;,ACY , %A <br /> NAME NOTES TRUCK NUMBER <br /> 2i Li, -i,'A LTU,i I �U�iNG 1 <br /> DRESS `,�� to <br /> - CITY STATEV ZIP <br /> � A 95-- 34 <br /> PHONE y � V ENDDDUMP BOTTOM DUMP TRANSFER <br /> 1:1 11 <br /> rSIGNITURE OF AUNORIZED A ENT OR DRIVER DATE q �+ ROLL-OFF(S)❑ FLAT-BED VAN DRUMS <br /> ^ iiJJ'*�i1C! / - l"'�Jrr rr j� I 0�� c !- t <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste it 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 <br /> reasonable efforts to promptly notify Disposer of its inability to accept the IDISPOSE 810 AERATE STOCKPILE OTHER <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 acc pt <br /> the waste ❑ SLUDGE <br /> REMARKS <br /> NON-FRIABLE <br /> ASBESTOS <br /> FACILITY TICK-$T NUMBER ` <br /> ' ^, E] WOOD <br /> SIGNAT6J E,Oj'AUT RIZE GENT ADATE <br /> `y' 1 Q ASH <br /> ❑ OTHER <br /> )ULING MUST BE MADE PRIOR Td 4 0 P M THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> CT TO REFUSAL UPON ARRIVAL,/ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> �EDLILE CALL (209) 982-429$ 5437 <br /> GENERATOR COPY MANIFEST # C <br />