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NON-HAZARDOUS ' �NIFES.T.' ;�,' <br /> ff""WARD WASTE TREATMENT AND DISPOSAL FACILITY• <br /> INC.r JOB ACCEPTANCE No. <br /> GENERAT + ,'° ` . '-`: "�, �?�Qf11REES:PERS(7NA��PROTEGTIVIw EQQIPMENT . <br /> ,„ _ .O. D !f3O Gt�_1 <br /> -]GLOVES ❑GOGGLES [:]RESPIRATOR <br /> []HARD HAT <br /> MAILINQ AD S n z ` , `' ❑ ❑OTHER <br /> 5. �, : t ,� >R TY-VEK <br /> SPECIAL HANDLING PROCEDURES: <br /> . <br /> n r. <br /> C60NT, 7;- <br /> ACT Pff <br /> ' SIGNATURE O�AUTHORIZE17 AIGEfVT /-TITLE <br /> �- ' <br /> ti WASTE TYKE''._" RECEIVING„FACrLITY ri ! <br /> - ... _ ..-_. k :` a , <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC: LANDFILL ,. <br /> °" ❑ DISPOSAL SOIL ❑ WOOD t <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> � gOTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> (209) 982= 1009, FAX <br /> NAMEf.�§ s �TFIUI�NUMBERi <br /> ADDRESS <br /> r <br /> / <br /> '-.;_NDDL_M-P, OTTOVDUMP <br /> .TRANSFEFt + <br /> sSIG�IATU�iE A UTH ZED,4G f1'OR DRIVEFi��• DATE ' `' M, 'ROLL-OFFS) FL E VA ;DI�U-NTS' <br /> . 01 El <br /> { FOMARD INC: L4h&[LL1' { <br /> Forward shalt have no obligation to accept the waste if weather or other <br /> t <br /> conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL METHOD+ ,(TO.BE=COMPLEtED_RY;FORWARD <br /> impairs the safe and effective operation of the Landfill. For shaft use !, , -. , <br /> reasonable efforts to promptly notify fisposer of its inabilityaccept the ! ' i � " f DISPOSE BICC.y'�[Ag§—At <br /> STOCkI'1LE'; tjTHEI , <br /> waste for any reason. If Forward's re sal to accept the wast is based on <br /> n weather&-other site conditions,Forward shall notify the Disposer when site ❑ SOIL <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste. ❑ SLUDGE <br /> ❑ NON-FRIABLE <br /> i4Clt11rY T� I<ET-NU`MFi: ... ' • r, "_r ASBESTOS <br /> .� _L ❑ WOOD <br /> i CS�GNAtUREOFrAl1THORIZED�A(iENT� ':"��'�`� yY� D _ 717_ .. <br /> ❑ ASH <br /> ❑ OTHER <br /> SGIIF-DIII_ING MU aE" BE MADE PRIOR TU 4:()o r'.M. 'f 11F t1AY PrilOri TO FXPECIEU ARRIVAL ANY UNSCHEDULED LOADS ARE <br /> stfrmr-6 To 6Er-USAL UPOrI ArrtVAI.,.QNGOIN G DAILY DELIVE RIFS MUST RE:SCI IEDULED WITri 1-1IELANDFILL THE DAY BEFORE. <br /> 'TA sGFEE[?UI_E cALr. (209)982-4,298 � MANIFEST# 665.4 <br /> TRANSPOnTER CUPY <br />