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irwAft <br /> WARD WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE N0. T); CM 4061 : <br />' GENE9#T0_ . _w _ ; � ,: ��,�-� =mss ,' "- M;� :�.,� REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> WILLIAM STEWART . _ ,, ❑GLOVES- []GOGGLES El (:]HARD HAT <br /> WNf3 ADDRESS -; „ ,. �'- �- i`� � r`' ❑TY-VEK [:]OTHER <br />' 452 LOWELL AV- ��_- �__.y _, i-- SPECIAL HANDLING PROCEDURES <br /> CITY,STA ZIP,.- <br /> • <br /> TRACY w CA T5367" <br />' - PHONE :< �- - <br /> _�.._.� <br /> 209-835-5148 <br /> CONTACT PERSON <br /> f <br /> I <br /> 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 /> • ❑x OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> " ;At^Y , C.- <br />' AME NOTES TRUCK NUMBER <br /> ADDLES <br />' CIT`YSTATE I t✓ r'J <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> SIGNATURE. OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> CUBIC YARDS <br /> FORWARD INC. LANDFILL <br /> Forward shall have no obligation to accept the waste if weather or other J <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 DISPOSE BIO AERATE STOCKPILE OTHER <br /> waste for any reason !f Forwards refusal to accept the waste is based on cc-/-t <br /> weather or other site condstsons Forward shall notify the Disposer when site CJ SOIL <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste ❑ SLUDGE <br /> REMARKS <br /> NON-FRIABLE <br /> w � <br /> FACILITY TICKET NUMBER ASBESTOS <br /> ❑ WOOD <br /> SIGNATURE OF AUTHORIZED AGENT DATE <br /> ❑ ASH <br /> ❑ OTHER <br /> _T_ <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 /> TO SCHEDULE CALL (209) 982-4298 MANIFEST # G 5443 <br /> GENERATOR COPY <br />