Laserfiche WebLink
F 0 RWA R Low NON-HAZA' SOUS WASTE MANIFEST <br /> INCORPORATED WASTE TREAVENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. - 463S <br /> GENERATOR" a " REQUIRED PERSONAL PROTECTIVE,EQUIPM_ENT <br /> SRE INC. ❑GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> MAILING ADDRESS ❑TY-VEK ❑OTHER I <br /> 1 1 S 2 S DUBLIN BLVD. <br /> CITY,.STATE,ZIP SPECIAL HANDLING PROCEDURES: � <br /> DUBLIN, CA 94568 <br /> PHONE <br /> _. ( 510) 829-8491 <br /> CONTACT PERSON ! <br /> DON;FIOFF�tifAN <br /> SIGNJ,AT'URE OF AUTHORIZE ENT/TITLE DATE <br /> I <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE 1 <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> ❑ DISPOSAL SOIL <br /> ❑ CONSTRUCTION SOIL 0 ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ OTHER I <br /> MANTECA, CALIFORNIA 95336 <br /> NERATING.FACILITY <br /> (209) 982-4298 PHONE ' <br /> VACANT LOT <br /> 835 W. CLOVER ROAD (209) 982- 1009 FAX <br /> TRACY, CA <br /> .AME <br /> ,z ..NOTES:,;. " TRUCK NUMBER . <br /> .. <br /> ADDR L Y SONS TRUCKING ,_ INC. SA29f) <br /> i <br /> 8896ELDER CREEK ROAD � eJ I/ &1517 <br /> CITY, - ZIP <br /> SACRA ENTO, .CA 9582b 1 <br /> PHONE ,. <br /> END DUMP BOTTOM DUMP TRANSF R <br /> ( 91C) 381-68C4 � ❑ ❑ _ � <br /> SIGNATURE OFtAUTHORIZED AGENT OR DRIVER . AN <br /> DATE ROLL-OFF(S),. FLAT-BED VDRUMSx <br /> * _ ❑ _ Elx ❑ ,. .. .❑ w_ <br /> FORWARD INC. LANDFILL cualc YARDS <br /> 18 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 DISPOS1.AL METHOD: (TO BE COMPLETED BY FORWARD): ! <br /> impairs the safe and effective operation of the Landfill. Forward shall use <br /> reasonable efforts to prompt ly,:notify Disposer of its inability to accept the DISPOSE BIO AERATE STOCKPILE OTHER°q" I <br /> - waste for any reason. If Forward's refusal to accept the waste is based on <br /> . <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 accep <br /> the waste. SLUDGE I <br /> REMARKS' ❑ I <br /> NON-FRIABLE f <br /> //, 1 ❑ ASBESTOS <br /> FACILITY TIC,KfT._NUMB <br /> i ❑ WOOD <br /> CJGNA E I�P��?THO5Z(=D AGEINT DATE I <br /> / � // / / _ _ ❑ ASH <br /> ��=/�!/� � "�� �S ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIO TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL ANY UNSCHEDULED LOADS ARE <br /> S 3JECT TO REFUSAL UPON ARRIVAL.ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY.BEFORE.: <br /> T SCHEDULE CALL (209)982-4298 C . <br /> TRANSPORTER COPY MANIFEST # 1`14 8 6 . 1 <br />