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ALYAC MIT`r— <br /> T� JOB ACCEPTANCE N0. <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> �o� F ; ❑GLOVES []GOGGLES ❑RESPIRATOR []HARD HATI <br /> MAILJNGCt`ADDRESS [:]TY-VEK ❑OTHER <br /> SPECIAL HANDLING PROCEDURES: <br /> CITY STATE,ZIP <br /> PHON� <br /> • EONTACT PE'R60 <br /> SlGdb iFi�AUTHORIZED'AGENT/ TITLE DATE <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> 0-D1—SPOSALSOIL ❑ WOOD gggg SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> '=1= 4`1`5., (209) 982- 1009 FAX <br /> IME NOTES: TRUCK NUMBER <br /> i <br /> aooa Js ` b G'/�I/�r "O3 <br /> CITY,SIAIE.ZIP <br /> PHONE - END DUMP BOTTOM DUM TRANSFER <br /> SIGNATURE OF AUTHORIZED AGENT OR D51VER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> r /, ❑ ❑ ❑ ❑ <br /> I <br /> FORWARD INC. LANDFILL CUBIC YARDS <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 DISPOSAL METHOD: (TO BE COMPLETED BY FORWARD) <br /> impairs the sate and effective operation of the Landfill. Forward shall use <br /> reasonable efforts to promptly notify Disposer of its inability to accept the DISPOSE .BIO AERATE STOC"IE 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 /> conditions are expected to change such that Forward will be able to accept <br /> • the waste. ❑ SLUDGE <br /> • <br /> REMARKS <br /> NON-FRIABLE <br /> ❑ ASBESTOS <br /> FACILITY TICKET NUMBER <br /> ❑ WOOD <br /> SIGNATURE OF AUTHORIZED AGENT. DATE <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 G n")P 11 <br /> MANIFEST # ... J <br />