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I�R-J 19 1 IF-L4-j-11l v\.ICl V ►Yr-%%j1 L_ i t N-111 n -V I L <br /> WAR" . �, WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. C <br /> GENERAR ` ., _ _ _ _ t REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> I ��,!!!u�! ❑GLOVES [I GOGGLES []RESPIRATOR <br /> HARD HAT <br /> IL1NG ADDRESS - _ — `' _ y ❑TY-VEK [:]OTHER <br /> �S2 �f f—ow�l -�'�G_• t- SPECIAL HANDLING PROCEDURES <br /> CITY,STATE,ZIP <br /> Tiny, <br /> PHONE, - <br /> 2a9 - <br />' CONTACT PER ON <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 /> .. 2 OTHER MANTECA, CALIFORNIA 95336 <br /> —GENERATING FACILITY (209) 982-4298 PHONE <br /> SID t�.l, .'1 ' s� (209) 982- 1009 FAX <br /> NAME NOTES TRUCK NUMBER <br /> 1)7 T CeC S My e" <br /> DRESS ! r <br /> :: <br /> . CITY STATE ZIP /r� <br /> PHONE <br /> �' ` ✓" �r� END DUMP BOTTOM DUMP TRANSFER <br /> SIGNATURE OF APTHORIZED rENT 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 DISPO AIM METHOD (TO BE COMPLETED BY FORWARD) <br /> impairs the safe and effective operation of the Landfill Forward shall use / DISPOSE BIO AERATE STOCKME 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 site <br /> conditions are expected to change such that Forward will be able to acce <br /> the waste [] SLUDGE <br /> REMARKS <br /> NON-FRIABLE <br /> ❑ ASBESTOS <br /> FACILITY TICKET NUMBER <br /> •- /1 E] WOOD <br /> SIGY.'U�E pF AUTHOR1z AGENT / DATE <br /> !/%1 i �,� z C ❑ 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 GENERATOR COPY MANIFEST # C 5475 <br />' - - --- -- - -- - --- --- �— � .._ � _�— _�- - -- - — ----_ -- - - �-_ <br />