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vlNCORPORATEWASTE TREATMENT AND DISPOSAL FACILITY <br /> � <br /> JOB ACCEPTANCE NO. <br /> ERATOR --- -•-- _._-. UIRED PE_RSONAG PROTECTIVE EO IPMF-NT <br /> Glt2CLtlT..S ... ._..... .__... . .. . .. .. GLOVES ❑GOGGLESORESPIRA El HARD HAT <br /> MAULING ADDRESS TY-VEK ❑OTHER <br /> CITY.S7rE C . <br /> _..._ . ._,_..... ... ..., .... •. ... -.,-. SPECIAL HANDLING PROCEDURES: <br /> "'5;r cX-ei n, Gad .. :.. . .� .._. ...._ . <br /> PHONE .. - <br /> _CO RSOPt. . l . <br /> TAL <br /> SIGNATURE;OF UTH40RIZED AGFIJT/TITLE .. .... DATE <br /> N <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> ❑ DISPOSAL SOIL WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH /APT* 9999 SOUTH AUSTIN ROAD <br /> • D OTHER ,ham MANTECA, CALIFORNIA 95336 <br /> GF-NERnTTNGiAetury : V ..CutcLkirs (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> NAME _._ ........... . .....--... NOTES: TRUCK NUMBER <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> ...—....... <br /> .:_....... _...._— —_.._�.......... . . -._....__._._O. . _.. <br /> - — --- - — <br /> SIGNATURE OF AUTHOI OR DRIVER DATE_.,.—__ _ ROLL-0FFtS) FLAT BED VAN ,DRUMS . <br /> ❑ ❑ a ❑ <br /> FORWARD INC. LANDFILL eue�eAd; <br /> s"",'._' <br /> Forward shaC have ne oWgmtion tD a=pt the waat d we&w or oCier . <br /> corditioro impair the sate and effective dImM of ON wast or if the waste ,�y -METE.i3OD:.>:::.( `BE COMPLETEDBY FORVYARD) <br /> r"m tM safe acrd effective operation of to LardBL Farward WW mo :B�'A".. .:, •:.: E <br /> reaSOMMe effort to promptly notify Dbpoeer of Its irnblliry to a apt the .. .. <br /> -i B10'.r� AEAATE 9TOpCPRd ^OTHEp <br /> waste fa arty ratamm M Favwd's refraal to accept the wast in hard an <br /> wrthw or other mle aoMMorrs.Forward shill notify dre Dlcpoaer whm alta ❑SOIL <br /> conditm am smacsed to Mope such ttm Forward will be able m aeaept <br /> the wraste.. _ <br /> _ _ SLUDGE <br /> . _ NON-FRIABLE <br /> ❑ ASBESTOS <br /> e�/KILT_M'71Ci�T-NUN�F,R.._:.:_�--,:.�.:.. . .::':�:_._�.S::i ❑ <br /> WOOD <br /> SIGMA'CUEE_OFAR(�II;AGEtf�_:�_� • .;�. , W1TE_Y_ ,"�• <br /> - - ❑ ASH <br /> ❑OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 490 P.M.THE DAY PRIOR TO EXPECTED ARRIVAL a ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL UPON ARRr AL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> TO SCHEDULE CALL(209)902-42U MANIFEST -* 61081—Ar <br /> FORWARD INC.COPi' <br />