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BARD WASTE TREATMENT AND DISPOSAL. FACILITY <br /> w . - - <br /> JOB ACCEPTANCE NO. �(T) .CMX — '406i <br />' GENERATOR REQUIRED PERSONAL PROTECTNE EQUIPMENT <br /> WILLIAM _sTEWA�r_. . ,, _� _,_ ,, ,� i . _f . (I GLOVES C]GOGGLES ❑RESPIRATOR El HARD HAT <br /> ILING ADDRESS.,' , __M,� , : :�;: ,��x : ❑N-VEK ❑OTHER <br /> 452 W L O W E LL ..A VE <br /> CITY,STATE,Z.IP ,s��Y SPECIAL HANDLING PROCEDURES <br /> _ �y � �r�a>,w u` `_ <br /> TRACY, CA _95367—, <br />' - PHONE _ <br /> xJRXSX 209-835-5148 ~ N <br /> CONTACT PERSON ; - _ -ti s _ _ _ <br /> WTLLIAM STEWART , <br /> 1 SIGNATURE OF AUTHORIZED AGENT I TITLE DATE "- 101 L E <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 /> © OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982 .4298 PHONE <br /> 1 . 11T,1 S . <br /> T Q��,. , n (209) 982- 1009 FAX <br />' AME NOTES - 1 TRUCK NUMBER <br /> ;H -ialiT TLOiI TRIC <1"It; <br /> DDRESS <br /> Y AULT ,TE: AV, <br /> CITY, STATE ZIP _ <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> El El 11 <br /> SIGNATVTR� OF AUTFJORIZEDJAGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS El <br /> 0 C3 El <br /> FORWARD INC- LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste if weather or other / If <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 shalt use DISPOSE BIO AERATE STOCKPILE 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 onS <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 <br /> the waste ❑ SLUDGE <br /> ` REMARKS <br /> ❑ NON-FRIABLE <br /> FACILITY�TfG?��Y lTBER ASBESTOS <br /> ! 1 ❑ WOOD <br /> SIG�AT F AVHO IZEf�AGENT DATE <br /> // ! // / ❑ ASH <br /> ❑ 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 /> TO SCHEDULE CALL (209) 982-4298 MANIFEST # C 5451 <br /> GENERATOR COPY <br />