Laserfiche WebLink
1 <br /> a.. * NON-H OUS WASTE MANIFEST <br /> INC0RPORWARP,POR'A•TWASTE T�RENT AND DISPOSAL FACILITY <br /> ED <br /> /JOB ACCEPTANCE NO. j ti <br /> RE D.PERSONAL PROTEL'� NE EQUIPMENT6iURD <br /> GLOVES ❑GOGGLES []RESPIRATORHAT <br /> ADDR <br /> ESS- ` <br /> ❑TY VEK ❑OTHER <br /> eQ,r; SPECIAL HANDLING PROCEDURES: <br /> �S'I34TE,ZIP F <br /> AUTFIORIZE©&GENTLTI LE DATE <br /> /aAl> <br /> 'TYPE RECEMNGFACILtTY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> 8,61ISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> CONSTRUCTION SOIL ❑ ASH <br /> .' <br /> OTHER 'I, MANTECA, CALIFORNIA 95336 <br /> ENERATINGFACILITY (209) 982-4298 PHONE <br /> ���c ; `:_ -r -1 :i`:%lv`� c` ✓ < (209) 982- 1009 FAX <br /> NOTES: TRUCK NUMEERt <br /> -C�'t <br /> ADDRESS <br /> CITY,STATE,ZIP <br /> END DUAP ,-. BOTTOM DUMP TRANSFER <br /> 01, <br /> ❑ ❑ ❑ <br /> SICiAI+TURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> C3 El El <br /> CUBIC YARDS <br /> FORWARD INC. LANDFILL <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'rf the waste DISPOSAL M. OO ( . CO TED BY F ORD) <br /> impairs the safe and effective operation of the Landfill. Forward shall use z OTHER <br /> reasonable efforts to promptly notify Disposer of its inability to accept the S <br /> waste for any reason. If Forward's refusal to accept the waste is based on <br /> weather or other site conditions,Forward shall notify the Disposer when site SOIL <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste. Q SLUDGE <br /> NON-FRABLE <br /> ❑ ASBESTOS <br /> FACILITY TICKS NUMBER <br /> ❑ WOOD <br /> 'SIGNATURE OF AUTHORIZED AGENT DATE <br /> ❑ ASH <br /> []OTHER <br /> k'Y SCHEDULING MUST BE MADE-PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> E. <br /> SUBJECT TO REFUSAL UPON ARRIVAL.ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY <br /> I OR <br /> TO SCHEDULE CALL(209)982-4298 MANIFE=ST# 089834 <br /> SALES COPY -. _ <br />