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— –T`1�f Y T111L..r11 1VVL7V yY!-1L7i f... ��►TTu �.a ry-r <br /> r ASfE TREATMENT AND DISPOSAL FACILIT <br /> JOBACCEPTAWCE`NO. cTy�CHMw-- X4061_:"; <br /> GENE1 LATORc'.� REQUIRED PERSONAL PRO TECTNEEQUIPMENT <br /> WILLIAM STEWART _ _ ❑GLOVES.,,❑GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> ILINGADDRESS - ;ti '' AYµ •-� •4 ,;Z ~`=•' ❑TY-VEK [:]OTHER <br /> 452 W . L O W E L L,Q E• r ..� .� SPECIAL HANDLING PROCEDURES <br /> CITY,STATE,7IP_ <br /> -TRACY , , CA 95367 .�x� -vim <br /> 209-835-5 .48 <br /> CONTACT-PERSON w - <br /> a WILLIAM STE1WART L <br /> SIGNATURE OF AUTHORIZED AGENT/TITLE DATE G' IL <br /> WASTE TYPE RECEIVING FACILITYSLUDGE <br /> ' <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) 982-4208 PHONE <br /> 71 �z 11 ;-, ST <br /> T­64-,Y , C , (209) 982- 1009 FAX <br /> NAME r - - NOTES _ _' , ' TRUCK NUMBER <br /> IT,' 1 �, -T 3N T;iLJC<T,1G <br /> DRESS 1,2 <br /> T <br /> . CITY, STATE ZIP <br /> .S.' , <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> ❑ ❑ ❑ ❑ <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 use1SPOSE BIO AERATE STOCKPILE <br /> 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 on <br /> weather or other site conditions Forward shall notify the Disposer when IL <br /> condihons 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 �J1 E] WOOD <br /> /l <br /> SIGNATURE OF,AUTHORIZE D#3E N-r / DATE <br /> ' ❑ ASH <br /> vJr - t , �� ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR T614 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 5454 <br />' — -- - - - -- _-- -- - - - - GENERATOR COPY --- - -- - - _ - <br />