Laserfiche WebLink
WARD NON-HAZARDOUS WASTE MANIFE& <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> ►IVC,. JOB ACCEPTANCE N0, <br /> NERATOR ] x REC UIRED PERSONAL PROTECTIVE EQUIPMENT,;',�q `j,'1 � <br /> S ! ,.GLOVES ❑GOGGLES ❑RESPIRATOR PARD HAT <br /> SIG ADDU; S o "�°Yr1 ;L�}z `=rr CITY-VEK ❑OTHER <br /> 0 <br /> YTi�TE; P SPECIAL HANDLING PROCEDURES <br /> P,��p�5 z Y t <br />. <br /> YNT05T <br /> 7GPERS;(JJ �' <br /> SIGNATU ORIZEI] A E T/ TITLE #� ;v'' bkg'WF <br /> Ty WA TE 114YPE x"ii. , n,a r pt t v 3r <br /> b. <br /> RECEIVING FACILITY;C -A� ,aPW,4iw,4, j, <br /> ❑ SLUDGE <br /> [ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> ❑ DISPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ OTHER <br /> MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> "' ' -NOTESTRU�3Kr�JlJaV1���� <br /> ADDRESS+ <br /> y C , <br />. CI ,STATE,ZIP, 'f� ri 45 T <br /> IS ONE <br /> ����f' ;� �iVD bid I <br /> 9UM r= <br /> A �j � 1:1ATU E Oi' EITHORIZtAbMGNT/OR bRIVER DATE +r - ROLL�FF(S) "r7"FLATMb <br /> 5lG ;1TA_ <br /> ❑ El ❑ ❑ <br /> FORWARD INC. LANDFILL CUM 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 <br /> impairs the safe and effective operation of the Landfill Forward shall use (TO BE COMPLETED BY�OAWARD) <br /> reasonable efforts to promptly notify Disposer of its inability to accept theDISPOSE ,,.810_;¢, AERATE ���E ��OTHER�� <br /> waste for any reason If Forwards refusal to accept the waste is based on ` <br /> weather or other site conditions Forward shall notify the Disposer when site I] S IL <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste <br /> SLUDGE <br /> REMARKS <br /> ❑ NON-FRIABLE <br /> FACILITYfT CKE NU BER " ASBESTOS <br /> ❑ WOOD <br /> SIi3N U AU" ChitDATE,,;j ;:-4 o <br /> ❑ ASH <br /> ❑ OTHER <br /> CI IEDULING MUST BE MADE PRIOR`Td 4 Ob P M THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> UBJECT TO REFUSAL UPON AnnIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> O SCliEDULE CALL (209) 982-4298 <br /> MANIFEST * 43501 <br /> l3ENEFtA1[tiF't[ Of'Y <br />