Laserfiche WebLink
NON-HAOOUS.WASTE MANIFEST <br /> FORWARD . WASTE TR MEaT, DID DISPOSAL FACILITY <br /> �- JOB ACCEPTANCE N0. FSHR 0748 <br /> GENERATOR _ REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> SAt� FRANCISCO FRENCH BREAD El GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> MAILING DDRES []TY-VEK ❑OTHER <br /> 7801 EDGEWATER "DR_ - SPECIAL HANDLING PROCEDURES: <br /> CITY,STATE,ZIP <br /> • OAKLAND , CA 94621 <. <br /> PHONE : <br /> (510) 568-5511 <br /> CON CTPERSON <br /> TOM SOLDONIA . <br /> SIGNATU OF AUTHORIZEDAGE Y TITLE DATE <br /> * <br /> /F Ph -5 y <br /> WASTE'TYPE <br /> RECEIVING FACILITY <br /> ❑ SLUDGE <br /> F] TREATMENT SOIL F] NON-FRIABLEASBESTOS FORWARD INC. LANDFILL <br /> • [3 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 /> 1444 S . LINCOLN ST. (209) 982- 1009 FAX <br /> STOCKTON , CA 95206 <br /> NAME _ ` NOTES: TRUCK NUM@ER <br /> RISCH HAMIII<OU TRUCKING <br /> ADID S <br /> 1336 PAULINE AEE. <br /> • CITY, STATE,ZIP <br /> MODESTO , CA 95358 . <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> 209) 578-4100 Q E] ❑ <br /> SIGN TORE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL CUBICYARDS <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 M HOD: (TO BE COMPLETED BY FORWARD)impairs the safe and effective operation of the Landfill. Forward shall use DISPOSE BIO AERATE STOCKPILEOTHER <br /> reasonable efforts to promptly notify Disposer of its inability to accept the waste for any reason. If Forward's refusal to accept the waste is based onOIL <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 /> • REMARKS <br /> NON-FRIABLE <br /> ❑ ASBESTOS <br /> FACILITY TICKET NUMBER , <br /> LE <br /> SIGN A Gf�E OF AUTHORIZE AGENT DATE <br /> ASH <br /> SCHEDULING MUST BE MADE PRKM$ tO 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 = a * MANIFEST # 14754 <br /> TRANSPORTER COPY <br />