|
NON-HAZARDOUS WASTE MANIFEST "`
<br /> F OR WARD WASTE TREATM�NT AND DISPOSAL FACILITY
<br /> JOB ACCEPTANCE NO. Cpj �
<br /> RATOR !! ,, REQUIRED PERSONAL PROTECTIVE EQUIPMENT"I £ .
<br /> C5GLOVES ❑GOGGLES []RESPIRATOR MHARD HAT
<br /> �INQ ADpR��Sx � ❑TY-VEK [:]OTHER
<br /> CITY,STATE,ZIP ,,r.,�5, xsf �JZ + `��4,,.R; SPECIAL HANDLING PROCEDURES
<br /> ~ JH N E �t7 �^J�(T/J�
<br /> lit—( �i•-''+•,• ' 6, Kti Ca ,�"r sets " Mfr
<br /> T CO TACE PER N
<br /> SIGN OF AU I AGENT,/ TITLE DATE<u
<br /> 2Z
<br /> WASTE TYPE `- '" "' r , RECEIVING FACILITY'S�'►s" �`` �r'"_'�� ' r
<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,ICALIFORNIA 95336
<br /> GENERATIN ,FACkLITYp .
<br /> 7jzacZ1,4)5
<br /> (209) 98,,2-4298 PHONE
<br /> (209) 982- 1009 FAX
<br /> E �.•�_ ry, = ^�f ° NOTES ', jTRUCK1NUMSEH, r
<br /> CC 2P__-
<br /> ApDRESS
<br /> aR �
<br /> ,Y
<br /> CITY,STATE',P
<br /> ,�ICa
<br /> w:r', y.. x } gw,r1 ]r:. cFw 1 xayr + <o^ >
<br /> P ONE ? c fr,�,; +oma p i, �'° .t s : �`<EfJD DUMI=,r -;,�g&a TO DUM r IN t�
<br /> coq y�� 9o�� _ ❑ _ ❑
<br /> SIGNATURE dt UT�i RIZED GE T OR ~ IVER r� DATE ?i,R c �s 10LL-OFF(5�7i, WjjFLO Ed A
<br /> / } .5
<br /> FORWARD INC. LANDFILL CUBIC YADspS�� � �s��
<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'COMPLETE�S'BYI F D��
<br /> impairs the safe and effective operation of the Landfill Forward shall use �� h �° r + �t V F
<br /> reasonable efforts to promptly notify Disposer of its inability to accept the t ,j��,=s�;� DIS ,O E 3f61� -AM"I
<br /> 8 ,� E
<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 v
<br /> the waste ❑ SLUDGE
<br /> REMARKS
<br /> NON-FRIABLE
<br /> FACIUTY,TICKE7 NUMBER f _' `' h "'� ��-�yrF° 7 ;LLrr_ ';�.ff� 4'+�f ❑ ASBESTOS
<br /> �t{V kax 11�' �r�a�%�.�, '`�1'd�'dl.r,�fk� n�4�'tl �
<br /> ❑ WOOD
<br /> � SIt�NA RtOF� tENT,°? xrt. ,. S+N'k h.ern-r rc
<br /> I THORI2(b AG ' �`,t ATE
<br /> ' � ❑ ASH
<br /> F ❑ OTHER
<br /> S( I IEPULING MUST RE MADE PRIOR TO 4 Ora P M THE DAY FRion TO EXPECTED ARRIVAL_ • ANY UNSCHEDULED LOADS ARE
<br /> SIII3.jECT 10 REFUSAL I MON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE
<br /> 10 SCHEDULE CALL (209) 982-4298 MANIFEST # 6559
<br /> CCItEnATQf1 COPY
<br />
|