Laserfiche WebLink
FORWARD NON—HAZARDOUS WASTE MANIFEST <br /> �.►� I N' C O R P ORA T Ell WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. <br /> GENERATOR ,; ,,�,., w. '- �,i is`� ". nr'r fiudi REQUIRED PEfISQNAL PROTEGTtVE EQUIPMENT <br /> i t Q GLOVES []GOGGLES ❑RESPIRATOR Q HARD HAT <br /> MAtLlNG ADDRESS` ❑TY-VEK ❑OTHER <br /> -.� SPECIAL HANDLING PROCEDURES <br /> CIYY,ST]�,TE,ZtP <br /> r _1 t <br /> PHONE <br /> CON'T'ACT PARSON <br /> SIGNATURE OF AUTHORIZED AGENT / TITLE DATE h <br /> All 7 <br /> WASTE TYPE REC MNG FACILITY, ' <br /> c r ; � i <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • ❑ DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> } <br /> GENERATING FACILITY - (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> c <br /> NAME • _t,' - _, - ', t w�,� � ­.NOT tiro" x T- ��Ey TRUCK NUMBER <br /> l t - <br /> ADDRI=SS <br /> . CITY,,STATE,LII - <br /> .� <br /> - <br /> PHONE-',' - ` ` „ ry" . END DUMP ;a BOTTOM DUMP, TRANSFER <br /> � �_ _ <br /> SIGNATURE `AUTHORIZED AGENT bi lIVR s DATE_Y' ,; ROLL-OFFS)> y FLAT-BED VAN DRUMS <br /> - ��7 ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL CUBIC,YARDS _� • s <br /> Forward shall have no obligation to accept the waste if weather or other <br /> conditions impair the sate and effective disposal of the waste or if t wase DISI?OSAL ODS :fig (TO BE COMPLETED BY FORWARD) <br /> impairs the safe and effective operation of the Landfill Forward shall use <br /> I. SAL 01$t'OS '`Btt3° �� STOGICPILE OTHER <br /> 4 lY. <br /> reasonable efforts to promptly notify Disposer of its inability to accept the '.�'-�,,, _ ,� _ -� _ <br /> waste for any reason If forwards refusal to accept the waste is based on OIL <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 /> �•gt�."v <br /> REMARKS,-,._ a .. .ku7"T"iT <br /> . a ._ <br /> ❑ NON-FRIABLE <br /> ASBESTOS <br /> FACILTkY TCKI;NUMB_ER � <br /> WOOD <br /> SIGNAM'Iff O�,;AUTHORiZEq Ad- 0 <br /> t <br /> f I ❑ ASIS <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 /> TO SCHEDULE CALL(209) 962-4286 80089 <br /> MANIFEST # <br /> DOPY <br />