Laserfiche WebLink
FORWARD <br /> NON—HAZARDOUS WASTE MANIFEST"Moosw.N WASTE TREATMENT AND DISPOSAL FACILITY <br /> INC. JOB ACCEPTANCE NO. <br /> 1ENERATOR wK 1" '" REQV ED PERSONAL PROTEOTI�IEiEOUIPMrzNT .W <br /> tj- Pq �j r I-e ❑GLOVES ❑GOGGLES ❑RESPIRATOR BARD HAT <br /> MAILING ADDRESS s 2 ❑TY-VEK El OTHER <br /> C31T STATE�If a Z, t art+ w"• r . , G SPECIAL HANDLING PROCEDURES <br /> ti s <br /> • + -T x Aa✓�'okay> �v�r��3 y '�r <br /> L�I4 G b 01PHG M <br /> O I ' S <br /> • i"' <br /> n CONTACT PERSON' <br /> SIGNATURE Of'AU HORIZ D AGENT / TITLE <br /> 7�C <br /> WASTETYPE - _° k ,x�r� N RECEIVING FACILITsYQ;IrM 0 .;AWMI„ °„ <br /> ❑ SLUDGE <br /> H,f'REATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • DISPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982--4298 PHONE <br /> r�o1�C j ,IG���r�` �►'� c.IC. (209) 982- 1009 FAX <br /> AMENOTES, <br /> ADDRESS <br /> • CITY, TATE ZIP <br /> LU►��o v f�� L/�-� r Y. r, .2- L z:2 n x r <br /> PHONE -Ari � BO70 <br /> 20(4 3 ,L/ C/OQ f a ; <br /> SIGNATURE OF AUT1-IORIZEd AdF-Nfbff DRIVII=R'�` UAB!A tr,, <br /> El 0 11 El <br /> FORWARD INC. LANDFILL g <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 DISPOSAL METHOD' ;r+ (TO f3E=COMPL#r7f BY ORWAf3D)` <br /> impairs the safe and effective operation of the Landfill Forward shall use ax <br /> reasonable efforts to promptly notify Disposer of its inability to accept the "I", DISE @k1 l <br /> waste for any reason If Forwards refusal to accept the waste is based on L <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 /> FACILITY TICKET NUMBER ",',;r� '""grr,` .`a; �'��%ry7� ,�,�;� ASBESTOS <br /> WOOD <br /> SIGNATURE OF AUTHORIZED AGENT 4 DATE',,k,,_ <br /> ❑ ASH <br /> '7:R�1— .� ( ❑ OTHER <br /> SCRE61.111-11 UST BE MADE PRIOR 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 41906 <br /> MANIFEST # <br /> GENEFiATUR COPY <br />