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NON-HAY ��RDOUS WASTEMANIrt�+ ;Y <br />`} WASTE TRTMENT AND DISPOSAL.FACILITY <br /> RWARD !! <br /> I'1VC. JOB ACCEPTANCE N0. <br /> . . • : .. REQUIP�D��RSO�AL PROTECTIVE EQUkPM�I!(T•-.,�:;.::---..-. <br /> GENERATOR _ / - "'�" ""` ❑GLOVES [:]GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> AILING ADDRESS _-- _-- -. �.,��. ❑TY-VEK ❑OTHER <br /> M <br /> /�?= t,_!. ` • ��r SPECIAL HANDLING PROCEDURES: <br /> CITY,STATE,ZIP <br /> PHONE <br /> CONTACT PERSON <br /> SIGNATURE OF AUTHOR}I - --AGENT./TITLE F DATE <br /> A, <br /> I WASTE TYPE .,.. _;.t RECEMNG_F�4C�ILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> - ❑ DISPOSAL SOIL9999 SOUTH AUSTIN ROAD <br /> ❑ WOOD <br /> f ❑ CONSTRUCTION SOIL C] ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 9533`6 <br /> . I — ..- . .FACILITY ._ (209) 982-4298 PHONE <br /> ry"I / 12%/1.1. . . __. <br /> ;) -,-le,�� (209) 982-1009 FAX <br /> ! t7w <br /> NAME <br /> A <br /> ADDRESS -. . ... .__.. .._ ..._ <br /> '.TRUCK NUMBER <br /> . CITY,STATE,ZIP <br /> PHONE <br /> DU BOT�[OM DUMP- - .-TRANSFER <br /> 61, <br /> ❑ <br /> SrGNATUFtE OF AUTNORIZED_AGENT,Off.DRIVER.: . DATE W ROI1-OFF�SjT BED❑ ';,.,VAN DRUMS <br /> El <br /> ~' FORWARD INC. LANDFILL <br /> Forward shall have no obligation to accept the waste if weather or other <br /> r. conditions impair the safe and effective disposal of the waste or if the waste <br /> impairs the safe and effective operation of the Landfill. Forward shall use DISPOSAL METHOD: (TO SE COMPLETEp BY FORWARD} <br /> reasonable efforts to promptly notify Disposer of its inability to accept the DISPOSE - B10 AERATE STOCKFI OTHER <br /> waste for any reason. If Forward's refusal to accept the waste is based on � _ <br /> weather or other site conditions.Forward shall notify the Disposer when site ❑SOIL <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste. <br /> REMARKS ❑ SLUDGE <br /> ❑ NON-FRIABLE <br /> FACILITY TICKET NUMBER ASBESTOS <br /> . <br /> El WOOD <br /> SIGNATURE OF AUTHORIZED AGENT._ ', .: .;. DATE <br /> a * — - -❑ 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 <br /> MANIFEST # 12076 <br /> SALES COPY <br />