Laserfiche WebLink
3 <br /> 1 (f FORWARD NON-HAZARDOUS WASTE MANIFEST <br /> I N C O R P O R A T E D WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE N0. 1 , ,j <br /> (63„ <br /> BULL— <br /> e, Z- [3GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> Woman <br /> ❑TY VEK [3 OTHER <br /> SPECIAL HANDLING PROCEDURES <br /> PHQNEµ -� - <br /> SON <br /> )747�:��12 -2-2_4-�7i&-_2M t'i=M <br /> 3% <br /> �-� AUTHOR <br /> WA <br /> N - v t.. °_ � "� �.4. RECEMNG FAC3LTCY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> •• <br /> E] STOCK PILEJR-OTHER � ��n MANTECA, CALIFORNIA 95336 <br /> • GENERATING FACILITY w �, .` E _ AL 209) 982-4298 PHONE <br /> jr (209) 982- 1009 FAX <br /> LIC # - - _ �. UCK NUMBER <br /> v:\--5-7 . <br /> ILER L�1C <br /> AD ESS # <br /> R <br /> • CRY,STATE,ZIP x Y_ TRAILER LIC�# _A <br />' PHONE END DUMP BOTTOM DUMP TRANSFER <br /> SIGRTURE 9F�AUTH,ORIZED GENT OR DRIVER DATE ROLL-0 (S) FLAT-BED VAN DRUMS <br />' r- _ ❑ ❑ ❑ ❑ <br /> y, <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 DISPOSAL METHOD (TO BE COMPLETED BY FORWARD) <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 DISPOSE BIO AERATE OTHER <br /> waste for any reason If Forwards 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 <br />' the waste r ❑ SLUDGE <br /> ` REMARKS <br /> NON-FRIABLE <br /> 9 p ❑ ASBESTOS <br /> FACILITY TICKET NUMBER _ _ <br />' ❑ WOOD <br /> SIGNATURE OF AUTHORIZED AGENT v _ DATE <br /> A _ w ❑ ASH <br />' * ❑ OTHER <br /> SCHEDULING MUST 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 /> o <br /> 14C955HEDB BsE CALL (209) 9$2-4298 GENERATOR COPY MANIFEST # C 63 73 9 8 <br />