Laserfiche WebLink
NON-HAZARDOUS WASTE MANIFES � "`�� <br /> WARD <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. 34( <br /> GENERATOR ; iso REQUIRED PERSONAL;PROTECTIVE°tEQUIPMENT <br /> MAILIN DDR S'� `� it' ❑COVES ❑GOGGLES ❑RESPIRATOR 9qHARD HAT <br /> [I�l _ TY-VEK ❑OTHER <br /> I STATE, LIP�` 1 6` """ <br /> Y,STATE,, SPECIAL HANDLING PROCEDURES <br /> C - , ,_ . � " <br /> • <br /> 1-0<:, 4Tos_ e:� A- <br /> - PHONE <br /> CONTACT PERSON" <br /> SIG TURE O-xAUTHORIZEd ANT T TITLE--- 6ATE — <br /> WASTJ TYPE 4 RECEIVING FACILITY v <br /> ��/ ❑ SLUDGE <br /> • ❑,FfEATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • ❑ CL SOIL El WOOD SOUTH AUSTIN ROAD <br /> r-1CONSTRUCTIONSOIL ❑ ASH ASH <br /> El OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> 7:14oke (209) 982- 1009 FAX <br /> AME NOTES --JRgqk NUMBER, s <br /> ADDRESS// i7 <br /> . CITY,TATE, <br /> P ZIr- <br /> END DUMP LQDUMPONEjTRANSFER <br /> SI NATURE OF AUTHORIZED AGENT OR DRIVER DATEice_WUI1/ <br /> El ❑ V El ❑ <br /> FORWARD INC. LANDFILL CUBIC,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 DI POSAL METHOD [TO BE COMPLETED BY�ORWARDf <br /> Impairs the safe and effective operation of the Landfill Forward shall use - ,�, <br /> reasonable efforts to promptly notify Disposer of its inability to accept the I . , { ,' '' DISPOSE , BIOT AI R iTI= src�KPILE *, OTHt=13 <br /> — as <br /> waste for any reason If Forwards refusal to accept the waste is based on w _ <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 accep <br /> the waste [] SLUDGE <br /> • REMARKS _ �--- - --;;--r-•- � w ,r--�__�---_ <br /> • � ❑ NON-FRfABLE <br /> TV--IC Y UMBEF� " — ASBESTOS <br /> ❑ WOOD <br /> Sip AT OF fO Z AGENT - -- JDATE� v <br /> El ASH <br /> ❑ OTHER <br /> now <br /> SCHEDULING MUST BE MADE PTO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL UPON ARR AL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> TO SCHEDULE CALL(209) 982-429$ MANIFEST # 41907 <br /> GENERATon COPY <br />