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WAMU � ' WASTE TREATMENT AND DISPOSAL FACILITY <br /> • ,, <br /> i'AC. J013 ACCEPTANCE N0. Lr2clnm"-�aCi_ <br /> GENERATOR - •__L REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> C(Ill�'am �S�ecdarT_, „ „ __ _ _ []GLOVES ❑GOGGLES ❑RESPIRATOR []HARD HAT <br /> _ILINGAD,DRESS _ ;r _.".' ,_ X" s ❑TY-VEK ❑OTHER <br />' r 4152 w' �Ow�IIC,� SPECIAL HANDLING PROCEDURES <br /> CITY,STATkZJP <br /> • 7%acy� Ca 95-3GT <br /> PHONE y - M•`_ _ __.- ,_:. _ . m` <br /> CONTACT PERSON �I L' _ l� *T <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 /> © OTHER MANTECA, CALIFORNIA 95336 <br />' GENERATING FACILITY (209) 982-4298 PHONE <br /> (209) 982- 1 009 FAX <br /> tea. <br /> NAME NOTES TRUCK NUMBER <br /> r r <br /> i <br /> CES n -c•�"} rf a,-; � L�`�I <br /> DRESS <br /> + . CITY STATE ZIP, _ r <br /> Y r`J rJ1 � i�fi JJ <br /> PHONE ENDDSlMP BOTTOM DUMP TRANSFER <br />' SIGNATUREOF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL CUBIC YARDS <br />' Forward shalt have no obligation to accept the waste if weather or other <br /> conditions :mpair 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 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 on <br /> weather or other site conditions Forward shalt 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 TICK{=•T.NUMBER-- <br /> ❑ WOOD <br /> SIGNATURE OF AUTHORIZEDIXGENT " / DATE <br /> / i ❑ 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 13EFORE <br /> TO SCHEDULE CALL (209) 982-4298 5476 <br /> GENERATOR COPY MANIFEST +� C <br />