COMPLIANCE INFO PRE 2019 - Laserfiche WebLink

Home Browse Search

.........................................................k- „r FORWAR NON-HAZARDOUS WASTE MANIFEST I :N CO R P0 RA I_ E 0 WASTE TREATMENT AND DISPOSAL FACILITY JOB ACCEPTANCE NO. GENERATOR REQUIRED PERSONAL PROTECTIVE❑ EQUIPMENT -, g _ to ❑GLOVES GOGGLES ❑RESPIRATOR '[]HARD HA MAILING XbDRESS ❑TY—VEK ❑OTHER CITY STATE ZIP SPECIAL HANDLING PROCEDURES: PHONE' 4 z CONTACT PERSON SIGNATURErOF—AUTHORIZED ANENT t TITLE DATE JI PASTE TYPE RECEIVING FACILITY ❑ SLUDGE ❑ TREATMENT SOIL ❑ NON—FRIABLE ASBESTOS FORWARD INC. LANDFILL �► ❑ DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD fl CONSTRUCTION SOIL ❑ ASH .. ❑ OTHER MANTECA, CALIFORNIA 95336 GENERATING FACILITY (209) 982-4298 PHONE (209) 982- 1009 FAX NAME NOTES: I TRUCK NUMBER /66RESS 61TY,STATE ZIP } PHONE END DUMP_ QTTOM DUMP TRANSFER SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL—OFF(S) FLAT—BED VAN DRUMS ❑ ❑ ❑ F1 FORWARD INC. LANDFILL CUBIC YARDS Forwaro shall have no obligation to accept the waste if weather or other conditions impair the safe ,and effective disposat of the waste or if the waste DISPOSAL METHOD: (TO BE COMPLETED BY FORWARD. impairs the safe and effective operation of the Landfill Forward shall use DISPOSE BIO AERATE STCCKPU OTHER 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 on F] SOIL weather or other site conditions.Forward shall notify the Disposer when site + conditions are expected to chance such that Forward will be able to accept the waste. ❑ SLUDGE REMARKS NON-FRIABLE ' ❑ ASBESTOS FACILITY TICKET NUMBER ❑ WOOD SIGNATURE OF AUTHORIZED AGENT DATE ❑ ASH ❑ OTHER SCHEDULING MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL + ANY UNSCHEDULED LOADS AF SUBJECT TO REFUSAL L UPON ARRIVAL.ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDF=ILL THE DAY BEFOR! TO SCHEDULE CALL(209)982-4298 MANIFEST # 199