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INC. JOB AC -PTANCE NO. <br />GENERATOR <br />`- REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br />`t Fv sC S I EH A PAPE/' 5Xi'd <br />[]GLOVES ❑GOGGLES []RESPIRATOR ❑ HARD HAT <br />MAILING ADDRESS <br />❑TY-VEK ❑OTHER <br />eco ;"EST' U EOi SMErI <br />SPECIAL HANDLING PROCEDURES: 1 <br />CITY, STATE, ZIP <br />9520; <br />PHONE <br />(2091 466-525i <br />CONTACT PERSON <br />SIGNATURE OF AUTHORIZED AGENT / TITLE DATE <br />* 05/25/94 <br />WASTE.TYPE <br />RECEIVING FACILITY <br />❑ TREATMENT SOIL <br />❑ SLUDGE <br />❑ NON -FRIABLE ASBESTOS <br />FORWARD INC. LANDFILL <br />• ❑ DISPOSAL SOIL <br />❑ CONSTRUCTION SOIL <br />❑ <br />❑ ASH ASH <br />9999 SOUTH AUSTIN ROAD <br />c❑ OTHER <br />MANTECA, CALIFORNIA 95336 <br />(209) 982-4298 PHONE <br />GENERATING FACILITY <br />(209) 982-1009 FAX <br />NAME <br />NOTES: 1 TRUCK NUMBER. <br />If & r SKIP SE—WILE M,P'A Y <br />ADDRESS <br />Z20 ClE:?iV{ hilly STREET <br />• CITY, STATE, ZIP <br />i <br />_`ri♦ Rw O_'4M, 04%. 94107 <br />END DUMP BOTTOM DUMP TRANSFER <br />PHONE <br />(415) 5411-4835 <br />SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE <br />❑ ❑ ❑ <br />ROLL-OFF(S) FLAT-BED VAN DRUMS <br />G5/"2'5/'94 <br />I <br />Q ❑ ❑ ❑ <br />FORWARD INC. LANDFILL <br />CUBIC YARDS / <br />Forward shall have no obligation to accept the waste it weather or other <br />—� <br />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 <br />reasonable efforts to promptly notify Disposer of its inability to accept the <br />DISPOSAL METHOD: TO BE COMPLETED BY FORWARD) <br />DISPOSE BIO AERATE 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 <br />ISTOWILI <br />Irt�l7SOIL <br />4� <br />• conditions are expected to change such that Forward will be able to accept <br />the waste. <br />❑ SLUDGE' <br />REMARKS <br />NON -FRIABLE <br />❑ ASBESTOS <br />FACILITY TICKET NUMBER <br />E] WOOD <br />SIGNATURE OF AUTHORIZED AGENT % DATE <br />. _ _ r �. <br />i <br />- ,',� - ,,::� ` /i .:./,/� <br />❑ 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 MANIFEST # 4451 <br />SALES COPY <br />