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r - <br /> 1. r <br /> N{�NV"DOO&WASTEMA <br /> NlFESTc dmwAi ` - WASMENT AND DISPOSAL FACtC1TY <br /> ' s _ <br /> JOB ACCEPTANCE NO. Y � <br /> G��ATOR , <br /> 7 If <br /> f' e IiC 14J GLOVES E]GOGGLES []RESPIRATOR []_HARD HAT <br /> MAILING ADDRESS W TY VEK ❑OTHER <br /> cY �q SPECIAL HANDLING PROCEDURES _ <br /> « {c Cr t <br /> PHONE <br /> • f 77 <br /> "-! <br /> Cc)krr <br /> -.1keyP ,�f <br /> SIGNATURE Ole A r _ <br /> WASTE TYPE EG INGT CILITII "` <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • ❑ DISPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ AS�Ll 9999 SOUTH AUSTIN ROAD, <br /> i ❑ °THBR MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY ' - (209) 982-429&PHONE <br /> _ �r_.f �` �: Io �rrrfr�,•-� (209) 982-1009 FAX <br /> NAME * ' ,I' f "MOTES- BE <br /> ADDRESS <br /> M { <br /> • CITYf STATE,ZIP _ ;7, n- <br /> 7 <br /> . PHONE iLEND DUMPM DUMP SF <br /> KR <br /> S TURE OF AUTHORIZED_.._. R DRIVER DATE ;ROLL.-OFP(S) FLAT-BED VAN MS <br /> ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL <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 1� E 1 I - CO <br /> impairs the safe and effectnie operation of the Landfill Forward shall use SPLMO©, �BE MPRWA€�Dj_ '_" <br /> reasonabie efforts to promptly notify Disposer of its inability to accept the R t31SPOSE O <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 ❑ SLUDGE <br /> - ` REMARI!GSJL. h � � `, <br /> • _ ❑ NON-FRIABLE <br /> � <br /> FACILITY TICASBESTOS ' <br /> KET NUMB � 4 <br /> ❑ WOOD <br /> SIGNATURE OF RI A <br /> j ❑ASH d ,F <br /> * w p ❑ 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 DAISY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE: <br /> TO SCHEDULE CALL(208)982-429841 MANIFEST# <br /> SALES COPY <br />