Laserfiche WebLink
WA RDNUN-HALAKUUUb` � vYHb! t <br /> vDRWASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE N0, (T) C-MM,- 4061 <br /> GENERATOR_,- ,_ ,, ' ,_� =R��. :: REQUIRED PERSONAL PROTECTIVE EQUIPMENT' <br /> t�tILLIAM STEWAR_TR ..w $ ❑GLOVEKS ❑❑GGOI•GE LES ❑RESPIRATOR ❑HARD HAT <br /> iL�NG ADORESS _ Y;` ❑ <br /> 452 W• L O W L L A V C • - _ SPECIAL HANDLING PROCEDURES <br /> CITY,STATi;ZIP_ <br /> • TRACY, -CA 95367 <br /> PHONE <br /> 209-835-5148 <br /> CONTACT PERSON _ T_ <br /> WILLIAM -STEWART K d � <br /> SIGNATURE OF AUTHORIZED AGENT/TITLE DATE GSC L <br /> 7�, Ike XV, <br /> WASTE TYPE RECEIVING FACILITY <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 /> GENERATING FACILITY (209) 982-4298 PHONE <br /> 1.T, ST (209) 982- 1009 FAX <br /> T i�A: ' , �:-A <br /> ME NOTES TRUCK NUMBER <br /> RIC I r A,',iT! 13lj T zJ'KIiJG <br /> ADDRESS <br /> c A . <br /> . CITY,STATE ZIP <br /> s <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> _ 1 _—z73—_' L _' El F-1 11SIGN E THORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> } ❑ ❑ ❑ El <br /> FORWARD INC. LANDFILL CUBIC 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 DISPOSAL METHOD (TO BE COMPLETED BY FORWARD) <br /> impairs the safe and effective operation of the Landfill Forward shall use DISPOSE SIO AERATE STOCKPILE OTHER <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 IL <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 /> ` REMARKS <br /> NON-FRIABLE <br /> ❑ <br /> FACILITY <br /> P`Ii G8kR <br /> ASBESTOS OS <br /> TUTrN ZED A WOOD <br /> SIGN RE O AUTIjgENT <br /> DATE <br /> / ❑ ASH <br /> ~ <br /> ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 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 /> Cf0 SCHEDULE CALL (209) 982-4298 MANIFEST # C 5430 <br /> 11 GENERATOR COPY <br />