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N C O R P O R A T E D WASTE TREATMENT AND DISPOSAL FACIUTY <br /> JOB ACL,PTANCE N0. <br /> GENERATOR R USED PERSOryI .PjiOTECTIVE E IPMENT <br /> ---• --... GLOVES OGOGGLES ❑RESPI ❑HARD HAT <br /> _ <br /> MNLAIG :. TYVEK []OTHER(� .5• C ESR. SPECIAL HANDLING PROCEDURES: <br /> CA Ct 976: <br /> C1T( STATEr�P <br /> -- — <br /> • <br /> CO <br /> SIGNATURE'.OF 1JT7iORl -,-A�GE,7T/'TITLE .. ...._ DATE• > .. •. .:.. <br /> • WASTE TYPE RECEMNG FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> DISPOS- ❑ coNsT ucnO SASH 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ASH <br /> • g,OTHER ,,na MANTECA, CALIFORNIA 95336 <br /> GENER!+nNG �TY` C up_Gxctis (209) 982-4298 PHONE <br /> (209) 982-1009 FAX <br /> NAME _._ ......... . . ..._—_.... _NOTES;.... ..... . - _... . _...... . . , .TRUCK NUMBER ... <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> SIGNATURE OFAU7H0liDAGEMOR.DRIVER:.:. :DATf.;.. .__.. ROLL-0FF(S),.,. _ FLAT_BED_ . :: .,VAN DRUMS <br /> -o.- ❑ d ❑ <br /> FORWARD INC. LANDFILL <br /> Forward stall have no obligation to accept the waste a weather or Other <br /> [,A,rA <br /> dleona irnpeir the sale and effective disposal of the waste or d the waste : }{OD: • (TO BE 60MPU_TED 13Y FORWARD) <br /> its the aaAo and aldective operation of the l.arrdfi0. Forward SWLSO <br /> sonable etNrb to promptly nosy Dbpwar d Its imblllry to accept the - —. 19PQSE BIO AERATE. 4ropCPIU!< OTHER <br /> ste for Ory raaaon. M Forwards retool to accept the waste b bated on .•:. <br /> ther a other are conditions,forward shall hotly the Dkposer when site F-3 SOIL <br /> tdtoorts are eF�aaad to startle aitch that Rorvvar'd will be able to accept <br /> was» ❑SLUDGE <br /> +•.-?t-).*'^.-r�3'_y::"___— .��. ❑NON-FRIABLE <br /> r~ ASBESTOS <br /> L7M�TICIQT-NUMBER:--- WOOD <br /> NATLI�EOFAGENT......---- ❑ ASH <br /> ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4:00 PJM_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)982-42" MANo EST # <br /> 61081-4 <br /> FORWARD INC_COPY <br />