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WARDs WASTE TREATMENT AND DISPOSAL FACILITY <br /> F,F11qcl <br /> 011. _ - 3i <br /> JOB ACCEPTANCE N0. (T) CMM 4061 <br /> GENERATOR � �, , .��� W„ .:,,`_ y� w_ _ , REQUIRED PERSONAL.PROTECTIVE EQUIPMENT <br /> WILLIAM_,STE;nIART _ _ []GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> MNG ADDRESS , "� �a � - ❑TY-VEK ❑OTHER <br /> u <br /> 452 W._ ,#.0 w L AVE. SPECIAL HANDLING PROCEDURES <br /> CITY,_STATE.ZJP <br /> • TRACY} CA 95357 . <br /> PHONE - <br /> 209-835-5148 <br /> CONTACT PERSON x <br /> WILLIAM STEWART �� C/����L <br /> SIGNA`TU,R_E OF AUTHORIZED AGENT/TITLE DATE <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • p DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATINGFACILITY (209) 982-4298 PHONE <br /> J 13 1 1T~ �T <br /> T 3AcY , C', (209) 982- 1009 FAX <br /> ME NOTES TRUCK NUMBER <br /> ADDRESS <br /> 133 ; Fall'_r #; aV LL AC _ <br /> CITY STATE, ZIP <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> SIGN/TIti a E O AUTHORIZED AGENT OR 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 DI OSAL 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 DLSpOSer of its inability to accept the DISPOSE BIO AERATE STOCKRLE OTHER <br /> waste for any reason If Forwards refusal to accept the waste is based on SOI ' <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 accep <br /> the waste,-' ❑ SLUDGE <br /> REMARKS �� f r NON-FRIABLE <br /> FACILITY-nq.�ET�ICJMBE / ❑ ASBESTOS <br /> l� ^ p WOOD <br /> SIGNATURE OF AL�ORIZED AGENT DATE <br /> / l [3 ASH <br /> C- L- -1— �1� p OTHER <br /> SCHEDULING 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 /> ITO SCHEDULE CALL(209) 982-4298 MANIFEST * C 5439 <br /> GENERATOR COPY <br />