Laserfiche WebLink
WARD • NON HA["�DOUS WASTE MANIFEST <br /> FORWASTE TR MENT AND DISPOSAL FACILITY <br /> .Iivr. JOB ACCEPTANCE NO. <br /> ` SHR 074fl <br /> GENERATOR N REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> SS//AT� �� ppppJJ ISCD FRENCH -BREAD []GLOVES ❑GOGGLES ❑RESPIRATOR F]HARD HAT <br /> MAil-AhDDRgqESS , ❑TY-VEK [-]OTHER <br /> •• 7 <br /> 1 <br /> SPECIAL HANDLING PROCEDURES: <br /> CITY,S% ,Z <br /> GEWATER DR . <br /> PHonKLAND , ,CA 94621 <br /> CONAPS -551 <br /> NB <br /> p`ti <br /> SIGN U) OF AUTHOR ZEP AGENT <br /> I / TITLE DATE <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASB�STOS FORWARD INC. LANDFILL <br /> • DISPOSAL SOIL ❑ WOOD SOUTH AUSTIN ROAD <br /> � 9999 <br /> F1 CONSTRUCTION SOIL ❑ ASH - <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> • GENERATING FACILITY (209) 982-4298 PHONE <br /> 1444 S . LINCOLN ST. (209) 982- 1009 FAX <br /> STOCKTON , CA 95206 <br /> NAME NOTES: TRUCK NUMBER <br /> RICH HAMILTON TRUCKING <br /> ADDRESS <br /> 1336 PAULINE AVE . <br /> • CITY, STATE,ZIP <br /> MODESTO , CA 95358 <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> (209) 579-0100 0 ❑ ❑ <br /> SIGNATURE OF <br /> AUTHORIZED AGEN 0 <br /> R DRIVER -, DATE ROLL OFFS) FL <br /> AT BED VAN DRUMS <br /> y <br /> El El 11 <br /> FORWARD INC. LANDFILL cuBlc YARDS <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 FORWARD) <br /> realimpairs the safe and effective operation of the Landfill. Forward shall use AERATE STOCKPILE OTHER <br /> DISPOSE BIO <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 /> weather or other site conditions, Forward shall notify the Disposer when site <br /> conditions are expected to change <br /> such that Forward will be able to accept <br /> Ithe waste. ❑ SLUDGE <br /> • REMARKS - NON-FRIABLE <br /> ❑ ASBESTOS <br /> FACILITY TICKET NUMBER ❑ WOOD <br /> SIGNATPRE OF A4THORIZE AGENT- DATE ASH <br /> ' — G ❑ OTHER <br /> SCHEDULING MUST BE MADE,PHIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS A <br /> RE <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 MANIFEST # 14751 <br /> TRANSPORTER COPY - <br />