Laserfiche WebLink
# NON-HAZARDOUS WASTE MANIFEST <br /> WARA� <br /> jjWAST� 'iEATMENT AND DISPOSAL FAC[Lrry <br /> �1VE' JOB ACCEPTANCE N0. y . <br /> a >< / z/-s <br /> is ECTiVE EQ <br /> GENE TOR i � ``n REQtJIFiED^. RSONA1r:PRO_TIJIPMIrI�IT-::r';• <br /> ❑�GLOVES [ ❑RESPIRATOR !-LARD!` I <br /> ❑GOGGLES ❑ . I <br /> MAILI _ADDRE El <br /> Ty-VEK ❑OTHER <br /> CITY g �P �-^ SPECIAL HANDLING PROCEDURES: <br /> �. _. - ' <br /> ' PITON , <br /> ,, f rs <br /> CONTACT PERSON , K77 =y N OI V <br /> SIG RE OF�AUTHOR IZED AGENT 1'TITtE � DATES �a <br /> WASTE TYPE, v 'a MNG FACSLUDGE <br /> ILITY . <br /> k <br /> +. ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS ! FORWARD INC. LANDFILL <br /> . [v'DISPOSAL SOIL ❑ WOOD j <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> ,. <br /> GENERATING FACIEITYa �- _ Y ry ,j (209) 982-4298 PHONE <br /> i <br /> 6-et �►'� Ie a9c-) 209 982- 1009 FAX <br /> NAM Z � � sE'Y.k. �.:s �. "" �,d35k ,.. �f4S!'`s.• c+: tk a..; <br /> NOTES::' t. k , 1RUCK NUMBERz— <br /> ADDRESS ..a q�. ^:. ^- !/c.� /�2 S//�r'� 7 <br /> e; <br /> sr "mac' it f <br /> 5 <br /> _ L53�� r�ess� R-�ac2 �� T5 3�C <br /> CITY,STeA�T'E,-.ZiF' -� .�. � M..� •� _ <br /> 1 <br /> PHONE r=-Y ,' E� s1' «"" fND DUMP. - _ FTRANSFER <br /> �.� '�«, BOTMM DUMP <br /> �ZG-L�1�rE <br /> SIGTUROF AUTHORlZED'.AG_NT OR I]RNER.: DATEOL1=Q .S rF1.gT DED" , .:VAN ORtJM3' <br /> FORWARD INC. LANDFILL cueicYrDs <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 M!~TI IOD ' <br /> impairs the safe and effective operation of the Landfill. Forward shall use :. DE COMPLETED BY FQRD: <br /> reasonable efforts to promptly notify Disposer of its inability to accept the " s„ � <br /> p Pt Y h+ po . .,DISPOSE ;BIO,.=: AERATE ��ER <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 whe SOIL l <br /> conditions are expected to charge such that Forward will be able toxac6ept <br /> 1 the waste. <br /> REMARKSi <br /> s ❑ SLUDGE E <br /> ;;. . <br /> f Y A ❑ NON-FRIABLE <br /> FACIL `.TIGCE7`N BER a: x� ASBESTOS <br /> r � _... <br /> _ ❑ WOOD <br /> Si RFTE <br /> f ❑ ASH <br /> ❑ OTHER <br /> r <br /> 1: SCFIEDULING`MUST BE MADE PRIOR 10 4;60 P.M..THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS AR <br /> SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> TO SCHEDULE CALL (209)982-4298 y <br /> ? MANIFEST# 3059 <br /> i _ i'• I¢ 9 <br />