Laserfiche WebLink
f <br /> NON-HAZARDOUS WASTE MANIFEST <br /> V"T"9- R WA ID WASTE TREATMENT AND DISPOSAL FACILITY <br /> INC. JOB ACCEPTANCE N0. [_R�450p <br /> d <br /> GENERATOR _ _ _ REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> Nelson_ Ready Mxx ❑ <br /> _ _ v_ - _ _w -�� GLOVES ❑GOGGLES []RESPIRATOR [-]HARD HAT <br /> MAILING AD-DRESS _ _ ❑T VEK ❑OTHER <br /> PCO. 60X ?� <br /> CITY,STATE,ZIP_- - ---- - -- - - ---- ----- -- SPE sL HANDLING PROCEDURES <br /> _ _ _ _ _ <br /> Ripon, <br /> - PHONE_ _- <br /> 209 .46b_-2_884 <br /> — <br /> Russ Nelson _— <br /> SIGNATURE OF AUTHORIZED AGENT'/TITLE- DATE -� <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • X❑ DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING _ f _ - _ Y _ (209) 982-4298 PHONE <br /> Nelson Ready Mix Con rte Plant <br /> 22700 S. Hwy 99 (209) 982- 1009 FAX <br /> Ripon, CA 95366 j <br /> NAME _- _ -- -- - _ -_ --- _ NOTES-- _-- _-- _-- TRUCK NUMBER — <br /> Rich tan Trucks T�ylGr 5i ,/ �` -r' 3AbDR6!§S--- <br /> 1217 S. 7th Street <br /> . CITY,STATES <br /> • Modesto, CA 95356 <br /> PHONE _ _ END DUMP BOTTOM DUMP TRANSFER <br /> • 209-5_78-4'#00 _ _ _ __ _ __ _ __0 _ - - - -- -❑--- ----- -- ❑ - <br /> SIGNATURE OF AUTHORIZED AGENT-OR DRIVER DATE _ _ ROLL-OFFS) FLAT-BED _ VAN DRUMS <br /> El El <br /> ! * 8-11-99 <br /> FORWARD INC. LANDFILL cuBlc YARDS _ <br /> Forward shall have no obligation to accept the waste if weather or other r <br /> conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL METHOD (TO BE COMPLE ED 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 STOC"I-E OTHER_ <br /> waste for any reason If Forward's refusal to accept the waste is based on <br /> weather or 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 /> • REMARKS <br /> ■ ❑ NON FRIABLE <br /> FACILITY TICKET NUMBER --- - ---- - - ---- ASBESTOS <br /> - - __ _ - - - -- _ _ - _ ---- ❑ WOOD <br /> SIGNATU E OF AUTHORIZED A�ENT �� DATE <br /> - -- --- - -- ❑ ASH -. <br /> i ❑ OTHER L <br /> SCHtDULING MUST BE MADE PRIOR TO 4-00 P.M THE PAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED 90ADS 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 GENERATOR COPY 46700 <br /> "� MANIFEST# <br />