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WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE N0, (T) 'CM14--- 4061 <br /> GE ERATOR 'REQUIRED PERSONAL PROTECTNE EQUIPMENT <br /> WILLIAM S T E W A R T ❑GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> IUNG ADgBESS T _ �� „:. y.� _." �:__.� _��' ❑TY-VEK ❑OTHER <br /> 452 W. LOWELL AVE . <br />' CiTYrSTgF_Z1P �;a- _'_ :_ R " SPECIAL HANDLING PROCEDURES <br /> TRACY, 0095367 ~r <br /> PHONE <br /> 209-835-5148 <br /> CONTACT PERSON - - <br /> WILLIAM STEWAPT <br /> SIGNATURE OF AUTHORIZED AGENT/TITLE DATE <br /> * ,kit *f, c 7 2 <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 /> 0 OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> 3 p4 <br /> (209) 982-- 1009 FAX <br /> NAME NOTES TRUCK NUMBER <br /> �Tt tori il '_TD61 T'1UC-`1 <br /> C � 1 <br /> KESS I II I1 I <br /> L.. 3j P3 U4 a19� AV <br /> CITY STATE ZIP <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> 3—s -LGC ❑ ❑ <br /> SIGNATURE OF AUTHORIZED AGEN OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> El El <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 <br /> reasonable efforts to promptly notify Disposer of its inability to accept the DISPOSE 810 1 AERATE STOCKPILE OTHER <br /> waste for any reason If Forwards refusal to accept the waste is based on r-1 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 /> ASBESTOS <br /> FACILITY TICKET NUMBER <br /> ❑ WOOD <br /> SIGNATURE OF AUTHORIZED AGENT DATE <br /> ❑ ASH <br /> ~1-1� ❑ OTHER <br /> CHEDULING MUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL ANY UNSCHEDULED LOADS ARE <br /> UBJECT 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 5447 <br /> GENERATOR COPY <br />