Laserfiche WebLink
FORWARD NON-HAZARDOUS WASTE MANIFEST <br />- �a��• <br /> INCORPORATED �.- WASTE TREATMENT AND DISPOSAL FACILITY <br /> 4+°D �. <br /> r K <br /> JOB ACCEPTANCE N0. 570 - <br /> GENERkTCLR __- _;__--- -__ flEQUIRED PERSONAL PROTECTIVE EQUIPMENT _- <br /> Nelson Ready 4iX _- � ❑ ❑GLOVES GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> MAILING ADDRESS '��- -- [_]TY-VEK ❑OTHER <br /> P.O. x_29_--_ - — - -- - SPECIAL HANDLING PROCEDURES <br /> CITY,STATE,ZIP — <br /> • Ripon, - <br /> PHONE <br /> CONTACT PERSON <br /> Russ Nelson-- --- <br /> c SIGNATURE OF AUTHORIZED AGENT/TITLE DATE Y, <br /> e WASTE TYPERECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • [ DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> z o ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY _- ---T- (209) 982-4298 PHONE <br /> Nelson Rudy Mix Cc>rx=ete Plant <br /> 22700 S. Ilwy 99 (209} 982- 1009 FAX <br /> Ripon, CA 95365 <br /> 41M e19 <br /> _fiWNAME _ TRACTOR LIG # - TRUCK NUMBER <br /> Rich Hamilton._TrucUag ---- j_� <br /> ADDRESS --- - --_-_- ----_- TRAILER LIC # --- �/ V <br /> ,.1217 S.-7th Street__ <br /> . CITY,STATE,ZIP _ - -� -_- _ -- TRAILER LIC #- __-- <br /> todBsto, CA 95351 - <br /> PHONE - _ END DUMP_ BOTTOM DUMP TRANSFER <br /> 249-578--4140 - - - - -__--- — - - `® _ _ _❑� - -- - -❑ - -- <br /> SIGNATURE OF AUTHORIZED A ENT OR DRIVER DATE •- ROLL-OFFS) FLAT-BED VAN DRUMS <br /> 8-11-99�rL ___1 I °yam L� — <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste if weather or other 5 <br /> conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL METHOD VO 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 inability to accept the - DISPOSE •BIO AERATE ISMOKPILE OTHER_ <br /> waste for any reason If Forwards refusal to accept the waste is based on L <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 /> 6 REMARKS _ _-— -_— __ __ _- �� NON-FRIABLE <br /> _ —_ 4 _ ❑ ASBESTOS <br /> FACIL_ ITY_TICKET NUMBE-Fff-- - <br /> — _ - -- - — - ❑ WOOD <br /> SIGNATURE OF AUTHORIZED AGENT DATE <br /> ❑ ASH <br /> `r �/ ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR Td 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 /> FO 1 TO{SCHEDULE GENERATOR COPY <br /> CALL(209)982-4298 MANIFEST# C 6 8 2 9 4 3 <br /> ti <br />