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(& +0RwAFAP �, idNON-HAI@RDOUS WASTE MANIFESTINCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY ' <br /> JOB ACCEPTANCEr <br /> NO ' �-- '' j zfh� �� . e3 iC'h 5 <br /> GENERATOR, , , ,,; �i.rs <br /> j ` & REQUIFjEQPEtRSLQ I ,L.=PROTE gTIVE EQUIPMENT-„5 :; <br /> a <br /> (� j �[ � t��/{r. _ ❑GLOVES 0 GOGGLES ❑RESPIRATOR _]HARD HAT <br /> MAILING S _ ,� �2 11 ,_z'T []TY-VEK ❑OTHER <br /> SPECIAL HANDLING PROCEDURES J <br /> �Eh 0 nn <br /> PHONES . ' <br /> / <br /> cor ac PEF�sc N7F` X17, <br /> `gd41 &E� A OR] D_AGEEVT f�TiTLE 1 DAD Y:% }r <br /> WAS ijk`� RECEMNG,FACI,LY,�'�}�`�"' <br /> ❑ SLUDGE <br /> ❑ TREATMFNT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • ❑ DISPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> l'�` Sr`� i (209) 982- 1009 FAX <br /> +.." <br /> ` <br /> -_ TRUCK NUMBER <br /> t12 <br /> 7?1- <br /> ZITY,S ATE, ! <br /> PHONE _ L _ END DUMP BOTTOM DUMP TRANSFER <br /> SIGNAT RE DF RUTH D'AGVORIZ DRIVER DATE ,' ___' ROLL-OFF(q)���__FLAT-BED ;VAN DRUMS <br /> i El El El _0k <br /> �r <br /> CUBIP)2 <br /> FORWARD INC. LANDFILL )2D DS <br /> a-= <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 MET OD (TO BE COMPLETED BY FORWARD <br /> impairs the safe and effective operation of the Landfill Forward shall use ) <br /> reasonable efforts to promptly notify Disposer of its inabiNy to accept the DISPOSE BIO AERATE sTOcKpILE OTHER <br /> waste for any reason If Forwards refusal to accept the waste is based on _ -``_ <br /> weather or other site conditions,Forward shall notify the Disposer when siteOIL <br /> ' conditions are expected to change such that Forward will be able to accept <br /> the waste _ ❑ SLUDGE <br /> ❑ NON-FRIABLE <br /> ASBESTOS <br /> _ ❑ WOOD <br /> 81GNATURE OF,�AUTHORiz AGENT - ,may DATEr, ra t� <br /> _..._. ❑ ASH <br /> Ej 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 -s-- <br /> MANIFEST# 68016 <br /> SALES COPY <br />