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�� t�IR �s wt>■s wi �� i i � i � � �� r )JL1W MYr�u��-�� INC0RP'dRAYE_D-'.' s ~ ,� �.��d •Y ,•`` - JOB ACCEP'EANCE HO.�� jam$ PTAYC ❑GLEYJES ❑GOGGLES❑RESPIRATOR pHAiD HAT � . 9t [:]TYYEK'r❑.A,YA,' - JAHES rN:� A�TS�D7l+ lox ��'fi +4�r �G GOGGLES©RESPIRATOR =©HARD HAT - - t © rA T SPECIAL HANDLING PROCEDURES-, SPECIAL HAND[JNQPROCEDURES.1'-,� LATHROP'*'Ck r9583(3r# �w:a�ri a3Eo'v '�h `r F '� `; ° _ i 9�Q - S 21 209-957-5981'1 - w. Si(3 AN O �� S JAN HEND ICKSON * �! — _-. RE WGFACIL[ISe"r�L�S% r ❑SLUDGE ❑ TREATMENT SOL p NON FRIABLE ASBESTOS FORWARD INC LANDFILL ❑SLUDGE ❑DISPOSAL SOIL ❑ woolo 9999 SOUTH AUSTIN ROAD p TREATMENT SOIL ❑ NON FRIABLE ASBESTOS FORWARD INC LANDFILL ❑CONSTRUCTION SOIL D ASH ❑ DISPOSAL SAL !� ASH 9999 SOUTH AUSTIN ROAD OTHER MANTECA,CALIFORNIA 95336 ' ❑ CONSTRUCTION SOIL O HER (209)982-4298 PHONE j` MANTECA,CALIFORNIA 95336 UNERATM • s tis 15613 SEVENTHTST� Tar<L'c (209)982-1009 FAX cENEaarmiG�Aaul„�=�;;W,;, ,,,�,i��.`,.,a,.,..�.;� (209}9$2-4298 PHONE - LANGSTON'S BAIT 8 TACKLELATHROD, CA 15615 SEVENTH ST (209}982-7009 FAX LATHRO?' CA NAME _ _ _ NOTES ;� _ _ 'TRUCK NUMBER RIS-i--4-IM-I-"ti-4�RUG-H-4J ' yFvMLC hLq + X 1JLM ADDRESS - _ -/ ✓ . tom, x'50 AIC Id"iT1_T0 �{f. 17 3 1 3 8 7 CITY STATE,ZIP 1336 PAULIN LOAD 049 nLA CITY � y+� - _�-. PHONE END DUMP _ BOTTOM DUMP TRANSFER M00£STO-CA_9535B,,,r .� x V VA$ S u' - :-u z c4"i -77z. �l05, ❑ ❑ PHONE_ R3�==- _ -- y PJ 1D DUMP k BOTTOM DUMP• <!TRANSFER SIGNATURE OF AUIHORI2ED AGENT OR DRIVER palE ROLL-OFFS) FLAT-BED VAN DRUMS 209-578-4100 * r r - r❑_ ©- ❑ ❑ O ❑ _ NAW"'DRu�tl SIGNATURE OF�IUTHORIZIZEDD AGENTOA.DRWERRf DATE Fi 1�[Sj�T-BED ;a„ J FORWARD INC LANDFILL c"mc" -2K' �.vS' Forward SUI haw no obbgabon to accept the waste d weather a other L• FORWARD INC LANDFILL - cort6 mons rmPau the sale and elteam dowsal of the waste a d the waste DISPOSAL MER m (m BE COMPLETED BY FORWARD) erosus tte safe and a lecbre operation of the LuKU Forward shes we peb Forward shah haw no obrdn to accept the waste b weather of o(W reasoned*a""to promptly rotdy Discimr of its nablhty w accept the _ 810 AERATE Smccet_' OTHER eom MW*ntp"pre safe and eflectra dopoeaf ot the waste or M the waste DISPIOSALMf� ;�BE;COMPL.E aY`L FORVMD) wait r lar any reason h Forwards refusat to accept the waste is based on ~ empan the age and epecbw operator at de Landfia Forward*hal mar rrwf „ weather or other&to condderu Forward Shall notify au Disposer when site ❑SOIL Rasarable*Monts to promptly notify,Disposer of Aa nabdity M accept the ' �F A9W£ w cdroruons are aspected to charge wch haat Forward will oe able to accept" waft for any mason.0 Forwards rok"to accept the waste is based om the waste ❑SLUDGE weather or doter W conditions Forward ahap rotey the f ooser when able IL • REMARKS carntfArore are expected to charge such that Forward wig be Ada accept t -- -_- - ❑W)N FAUBLE waste the • _ ❑SLUDGE FACILITY TICKET NUMBER A58ESTOS ❑SLE ©wUDD❑ASH SIGN67URE OF AUTHORIZED,,AGENT BATE ❑WOOD c t r r ! - 'J / CI OTHER y ❑ASH �' 1 ❑OTHER SCHEDULING MUST BE MADE PRIOR TO 4 00 PA THE DAY PRIOR Tp EXPECTED ARRIVAL a ANY UNSCHEDULED LOADS ARE _ SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE TO SCHEDULE CALL(209)082.4298 54050 SCHEDULING MUST BE MADE PRIOR TO 4 THE DAY PRIOR TO EXPECTED ARRN AL a ANY UNSCHEDULED LOADS ARE MANIFEST r WBJECT TO REFUSAL UPON ARRIVAL.ONG G DAILY DELIVERIES MUST BE SCHEDULED MATH THE LANDFILL H54049 A TRANSPORTER COPY TO SCHEDULE CALL(240)N2.4205 -MANIFEST f