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�.�r�-j u�v�r�uvuJ vrr-+<J, c Ivu-11VIrC�71 � y- WASTE TREATMENT AND DISPOSAL FACILITY JOB ACCEPTANCE NO.�-` r f _' i✓� '~ f 1 r r'F r C 1 GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD H z ❑TY VEK ❑OTHER ' SPECIAL HANDLING PROCEDURES „ 1 SIGNaTUE #4 WASTE TYPE ❑ SLUDGE ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL c ] DISPOSAL SOIL ❑ WOOD ❑ CONSTRUCTION solL ❑ ASK 9999 SOUTH AUSTIN ROAD ❑ OTHER MANTECA, CALIFORNIA 95336 ; GENERATING FACILITY (20Y9) 982--4298 PHONE (209) 982- 1009 FAX Jr Ccl i �+ 'w r �/i 'SP7 }s NAME _ r ADDRESS CITY, STATE, ZIP PHONE END DUMP ` r r� r y_ •� � � ._ s._ __.. "� F `.. .-BOTTOMDUMP"h ` S TURF OF .. ��❑ - V[-_ '— ❑� - "r AUTHORIZED AGENT Oil DWVERT DATE—,T' y� i * 4 —AA r _ ❑ ❑ ❑ ❑ FORWARD INC. LANDFILL CUBIC YARDS;, Forward shall have no obligation to accept the waste if weather or other conditions impair the safe and effective disposal of the waste or if the waste impairs the safe and effective operation of the Landfill Forward shall use DISPOSAL METHOD: 8E - -- - IEII reasonable efforts to promptly notify Disposer of its inability to accept the - - waste for any reason ff Forwards refusal to accept the waste is based on v.. .z� weather or other site conditions, Forward shall notify the Disposer when site ❑ SOIL w conditions are expected to change such that Forward will be able to accept the waste REMARKS - -,- E3SLUDGE ❑ NON-FRMLE FACILITY TICKETIU - ASBESTOS SIGNATURE-OF � pr ❑ WOOD fE- / , ❑ ASH * /S-�;3 ❑ OTHER ERULING MUST BE MADE PRIOR TO 4-00 P M THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS AR ECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE SCHEDULE CALL(209)982-4298 MANIFEST* 5303 SALES COPY