Laserfiche WebLink
FGRWARD - <br />INC JOB ACCEPTANCE NO. <br />NON-HAZ._:DOUS WASTE MANIFEST <br />WASTE TREATMENT AND DISPOSAL FACILITY <br />- 5Y_k <br />GENERA�TyO/ <br />/7� <br />REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br />CRWLOVES ❑GOGGLES❑RESPIRATOR AARD HAT <br />MAILING ADDRESS ' / '.. <br />, 4: �ZZ q ✓ 7- /eV 'V ll/ _ <br />❑TY-VEK ❑OTHER <br />CITY, S ATE, ZIP - <br />SPECIAL HANDLING PROCEDURES: <br />7u/( Loc/C a'o <br />PHONE <br />y <br />1D�� <br />1119 <br />CONTARPERSON <br />,D9viD <br />SIGNATUR OF AUT ORIZED A N / TITLE DATE <br />• W E YPE <br />W7 <br />/ <br />RECEIVING FACILITY <br />❑ SLUDGE <br />❑ TREATMENT SOIL <br />❑ NON -FRIABLE ASBESTOS <br />FORWARD INC. LANDFILL <br />•F0 DISPOSAL SOIL <br />CONSTRUCTION SOIL <br />❑ WOOD <br />❑ ASH <br />9999 SOUTH AUSTIN ROAD <br />• <br />❑ OTHER <br />MANTECA, CALIFORNIA 95336 <br />(209) 982-4298 PHONE <br />GENERATING FACILITY <br />4uL7%�i g �✓T �P�r�s <br />elk.AFlOo�AOo <br />(209) 982-1009 FAX <br />NAME <br />". Oil 41J;TRUCKNUMBER <br />`t <br />NOTES:' <br />ADD <br />/.7 <br />(ice <br />- CIT/T© ?� C�• ,�%SZ <br />END DUMP BOTTOM DUMP TRANSFER <br />�` <br />PHONE <br />1 <br />SIG ATURI- AUTHO E" -AGENT RDRIVER I DATE <br />ROLL -OFFS) - FLAT-BED VAN DRUMS <br />❑ ❑ ❑ ❑ <br />FORWARD INeLANDFILL <br />cuBlc YARDS <br />orward shall have no to the <br />obligation accept waste if weather or other <br />condi ons impair the safe and effective disposal of the waste or if the waste <br />impai the safe and effective operation of the Landfill. Forward shall use <br />! Q <br />DISPOSAL METHOD:. (TO BE COMPLETED BY FORWARD) <br />- <br />reasonable efforts to promptly notify Disposer of its inability to accept the <br />waste for any reason. If Forward's refusal to accept the waste is based on <br />DISPOSE BIO AERATE STOCKPILE OTHER <br />weather or other site conditions, Forward shall notify the Disposer when site <br />SOIL <br />conditions are expected to change such that Forward will be able to a <br />• the waste. <br />• REMARKS /!// <br />❑ SLUDGE <br />- . <br />� <br />FACILITY j1CKET NYMbER I / <br />❑ NON -FRIABLE <br />ASBESTOS <br />❑ WOOD <br />SIGN LEE THOIjN2ED AGENT ,,' DATE <br />/ii <br />/,/ ._ //. <br />❑ ASH <br />❑OTHER <br />l ( <br />SCHEDULING MUST BE MADE PRIORI' -V 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 />TO SCHEDULE CALL(209)982-4298 <br />MANIFEST # 41972 <br />GENERA iOR COPY <br />