Laserfiche WebLink
(I r (.f KwA j{� NON-HAZARDOUS WASTE MANIFEST <br /> INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO _ <br /> GI=NERATOR_ ` - ~"�` - t .. <br /> 7 "..,i; �`'; T .',--� A r` L %PE011 <br /> n R Q 00 <br /> ELOGOGGLES ❑RESPIRATOR ❑HARD FIAT <br /> MAIIrfNG ADDiESS �; �`- �� �� '`s' ❑TY VEK ❑OTHER <br /> CITY STATEZ1Pµ `'_ ` = ,-" 9 _ sx `t}` =f-_, SPECIAL HANDLING PROCEDURES �}✓ <br /> PRONE,'•` <br /> v �� <br /> CONTACT PERSON s"``�> �.,,``;y� >y;�`�,�`"_r. .��4���'�; :nam • +M <br /> A i1'-rte; Jtv <br /> SIGNATURE OAUTHORIZED AGS <br /> c <br /> WASTE TYPEr_ r x. '� =;amu'=�"rte , =h 1+ RECEMNC CILfFY j <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • ❑ DISPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> � OTHER MANTECA, CALIFORNIA 95335 <br /> GENERATING FACILITY; (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> � NAME4'k-�` _r :� r= h n��� '3C 1+.f�n�`T w^- ! ' .'64-.L�• 30 �d . w1 T..��' i i.r c-r-z^-` E .a r ? ro <br /> TRUCK NUMBL., <br /> 7 4e f S1 lr7e'^tiV `f f <br /> CI <br /> PHO. UMP a- n ,EPT-TOM DUMP <br /> f .rn- n✓ .r4��s '...�,:A.e.., .- x'..a.i 1.�8 a:a�.�., a � -`-`._.,.�. ti `.3'—...�,�aa...x C�Gis+��i7tidt'.:� �.weTMNSFE <br /> SIGNATURE QF AUTHOWZED 44&q <br /> ORIVf«R, r [TATE";� ,� , =� w� " <br /> fao[i �s a 8Eo VAN DRunn <br /> _❑ mux u <br /> FORWARD INC. LANDFILLefrAAv� R :r_ =t- <br /> Forward shall have no obligation to accept the waste if weather or other 'T <br /> conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL METHOD TO BE COMPLETED BY FOR <br /> D <br /> impairs the safe and effective operation of the landfill Forward shall use ry rte. 4 <br /> reasonable efforts to promptly notify Disposer of its inability to accept the ;��� � S �iC� AEf�ATE =OgPfEE ;` w � <br /> waste for any reason if Forward's refusal to accept the waste is based on T` '^}' M f' <br /> weather or olner site commons, Forward snali 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 /> REMAR � <br /> " ❑ NON-FRIABLE <br /> FACILITY TICKgt(VUM8E5h ASBESTOS <br /> WOOD <br /> - SIGNATURE OF AiJTHORIZED AGENT. '` _ , z DATE <br /> ❑ 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 /> TO SCHEDULE CALL(209)982-4298 MANIFEST # <br /> GENERATOR COPY <br />