Laserfiche WebLink
FORW k1 <br /> ON-HAZE D�;b3 Vb�TE �,1ANIFES, _ . . <br /> I :\' C O K I' O R .A T E WASTE TRI TIENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE N0. — 54 25-71 <br /> GENERATOR : ,._::.a .[OI:T..• ,�•1 .a:>t Ci <br /> REQUIRED <br /> GLOVERS PERSONAL <br /> [:]RESPIRATOR TECTI <br /> VE OEN ❑HARD HA' <br /> 50UTHI-ANDT <br /> MAILING ADDRESS _ �� ❑TY-VEK ❑OTHER <br /> 1349 NORTH NORTHGA E <br /> „ SPECIAL HANDLING PROCEDURES: <br /> CITY,��STATE;. <br /> MANTECA. CA 95336 <br /> ( 206 ) _51-915 <br /> CONTACT�PERSON�.... _... ... 7 'Kx� .. <br /> BOB DEN I NNO <br /> SIG URE OF AUTHORIZ GEiNT./TITLE DATE,', <br /> rWaA.STwE.JjY2W.u„•..w.._s:...! .r..a_r.... .. .- . . . . RECEIVING FACILITY <br /> . . �.., <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 /> • ,,GENE RATINGFACILITY � s, �.�_:. _.... (209) 982-4298 PHONE <br /> 1399 �INORTH MAIN C NORTHGATE (209) 982- 1009 FAX <br /> MANTECA, CA <br /> NAME�� r NOTES TRUCK NUMBER• <br /> MANLEY SONS TRUC'•1.ING . INC <br /> ADDRESS Ur 6 L� f l <br /> 8,S96 EIDER t.I EEK_ I�.C_ AF) IV / <br /> .CIT,�XySTATE <br /> y SACRA1`0EN I O CA 95,3 2 3 <br /> PHONE _a _ _�, �w, _._., END DUMP BOTTOM DUMP. :, �•: TRANSFER': <br /> v ( 4 1 ( ) Sr El <br /> ❑ -.❑ <br /> SIGNATU OF_AC1TH0 ZED AGEN ,R DRIVER, DATE " ROLL-OFF(S) FLAT-BED VAN DRUMS; <br /> ..e_r_ _ _.__ ._. L .. <br /> 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 if the waste DISPOSAL METHOD: (TO BE COMPLETED BY:FORWARD), <br /> impairs the safe and effective operation of the Landfill. Forward shall use - "' <br /> A <br /> BI <br /> SE OCKPIIF <br /> O ' ERATE ST <br /> reasonable efforts to promptly notify Disposer of its inability to accept the DI ....._. .W•-.-•••.�.. <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. ❑ SLUDGE <br /> NON-FRIABLE <br /> ❑ ASBESTOS <br /> FACWT,Y_ 1CKET NUMBER <br /> ;, ;'1� ❑ WOOD <br /> 'S GATS RF,OF AUTHORIZED AGENT DATE ;; <br /> �<^ C� ❑ ASH <br /> II <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) 982-4298 TRANSPORTER COPY MANIFEST # C <br /> 26259 <br />