Laserfiche WebLink
�ww��� NON-1­1A'-ARDOUS WASTE MANIFEST <br /> FORWASTE- ;EATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. -,.62 / <br /> GENFj��yAyTOR/' W.. i REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> ruC�T l�/ i3e1 <br /> [—]GLOVES ❑GOGGLES ❑RESPIRATOR E]HARD H_ <br /> MAIIJ G ADDRESS n „ [:]TY-VEK []OTHER <br /> • () • BOX 505 <br /> CITY TATE ZIP _ SPECIAL HANDLING PROCEDURES: <br /> Cc n 15-1-Girn oh Cly <br /> PHO? ' - - <br /> CONT) T PERSON nION f- <br /> & <br /> Aq/ ,M Hcirri6 <br /> SIGNATURE OF AUTHORIZED AGENT / TITLE DATE <br /> WASTE TYPE RECEMNG 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 /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> • <br /> GENERATING FACILITY _ :_.:: _,,.._ (209) 982-4298 PHONE <br /> pact-ric, P11 <br /> 2300 ,�Gn� q;/o 4dad (209) 982- 1009 FAX <br /> NAME NOTES: ..,::. _ _:,. TRUCK NUMBER <br /> bLtll>°r� <br /> ADD ESS <br /> 2530 13Pl !(��55� d r. 7 T S! iS3 <br /> • CITY STATE,ZIP <br /> ,� So se, Cr> gSi3Z <br /> PHONE 7 D D ENP _ BOTTOM DUMP TRANSFER <br /> SIGDIATU RE OF AU D_AG OR DRIVER DATE _ ROLL-0FF(S)_y FLAT BED VAN, -�_ DRUMS_ <br /> II ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL cuBlcvARgs_� _n , <br /> Forward shall have no obligation to accept the waste if weather or other <br /> conditions impair the safe and effective disposal of the waste or if the waste . DISPOSAL METHOD: (TO BE COMPLETED BY FORWARI <br /> impairs the safe and effective operation of the Landfill. Forward shall use <br /> reasonable efforts to promptly ratify Disposer of its inability to accept the , , ,�. a., DISPOSE BIO AERATE = "OTHER <br /> ... . -- . <br /> waste for any reason. If Forward's refusal to accept the waste is based on SOIL <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 /> - <br /> the waste. ❑ SLUDGE <br /> REMARKS . . .. .. v <br /> --" - "` NON-FRIABLE <br /> FACILITY E NU <br /> ❑ ASBESTOS <br /> T)��. Fl�ED,)A <br /> WOOD <br /> SIG RE F A1 l <br /> ❑ ASH <br /> i <br /> �� I - / ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO/4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS P <br /> SUBJECT TO REFUSAL UPON ARRWAL.ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFOI <br /> TO SCHEDULE CALL (209)982-4298 MANIFEST # 3072 <br />