Laserfiche WebLink
' } NEON-HAZARDOUS WASTE MANIFEST <br /> WARD WASTE TREATMENT AND DISPOSAL FACILITY <br /> SNC. JOB ACCEPTANCE NO. f <br /> (T) C11 - 4061 �617 �-_ <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br />' ISI I L L I A PI S T E W A R T []GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> MAILING ADDRESS ❑TY-VEK [-]OTHER <br /> 452 W . LOWELL AVE , <br /> CITY,STATE,ZIP SPECIAL HANDLING PROCEDURES <br />' TRACY , CA 95367 <br /> PHONE <br /> 209-835-5148 <br />' CONTACT PERSON <br /> WILLIA"I STEWART vIR <br /> SIGNATURE OF AUTHORIZED AGENT/ TITLE DATE <br /> *)�" ml"c <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 />' GENERATINGFACILITY (209) 982-4298 PHONE <br /> - � � 1ITh ST <br /> fr�.XT A' Trey , C (209) 982- 1009 FAX <br />' NAME _ _ NOTES TRUCK NUMBER <br /> y y f P, F! <br /> ADDRESS <br /> CITY, STATE ZIP <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> 2f 9-X76-41:;0 ❑ ❑ ❑ <br /> SIGNTU E OF ALIT H IZED GENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste if weather or other <br /> I conditions impair the safe and effective disposal of the waste or :f the waste DISPOSAL METHOD (TO BE COMPLETED BY FORWARD) <br /> impairs the safe and effective operation of the Landfill Forward shall use <br /> reasonable efforts to promptly notify Disposer of its inability to acceptthe DISPOSE 1310 AERATE STOCKPILE OTHER <br /> waste for any reason If Forwards refusal to accept the waste is based on ❑ IL <br /> weather or her site conditions Forward shall notify the Disposer when a -- <br /> conditions are expected to change such that Forward will be able to ac <br /> the waste ❑ SLUDGE <br /> REMARKS <br /> NON-FRIABLE <br /> ❑ ASBESTOS <br /> I FACILITY K T BE <br /> ❑ WOOD <br /> 1 �YGRF AU RI D A ENT ,DATE <br /> ❑ ASH <br /> t/// ❑ OTHER <br /> ISCHEDULING MUST BE MADE P R 7 4 t70 P M THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL UPO IVAL NGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> TO SCHEDULE CALL (209) 982-4298 <br /> MANIFEST # C 5431 <br />