Laserfiche WebLink
SIVA RD <br />' WASTE TREATMENT AND DISPOSAL FACILITY <br /> Mrr. <br /> a JOD ACCEPTANCE N0. (T) -CMM7- 4061 a <br />' GENERATOR ,' a _z = — �. REQUIRED PERSONAL PROTECTIVE EQUIPMENT - <br /> t�7:LL�At4 STEWART ❑GLOVES []GOGGLES []RESPIRATOR ❑HARD HAT <br /> ILING ADDRESS, , _�. ❑n-VEK ❑ <br /> OTHER <br /> 452W_A LO{al EL L AVE. <br /> clTv,STAZIP A , ^ i SPECIAL HANDLING PROCEDURES <br /> ,�Lq� �:r =:.� .w��:.��. �_. a <br /> • TRACY,__CA_95367_ <br /> PHONE k_ <br /> 209-835-5148 <br /> CONTACT PERSON — <br /> WILLIAM STEWART G�C�� L6 <br /> SIGNATURE <br /> —OFNAUTHORIZED AGENT!TITLE DATE <br /> WASTE TYPE RECEIVING FACIUTY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON—FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> ❑ DISPOSAL ❑ 9999 SOUTH AUSTIN ROAD <br /> ❑ <br /> CONSTRUCTION <br /> ASH SOIL ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACIUTY (209) 982-4298 PHONE <br /> 515 M 11Th 'T <br /> ,A G r , C A (209) 982- 1009 FAX <br /> NAME NOTES TRUCK NUMBER <br /> _ .7CI iLTCr, T i,.; r43 <br /> DRESS - !' <br /> 1 '3 P4 LiNc1l /r L3-k0 <br /> . CITY STATE, ZIP <br /> T1 , <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> ~� ❑ ❑ ❑ ❑ <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 of 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 accept the DISPOSE BIO AERATE STOCKPILE OTHER <br /> waste for any reason if Forwards 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 /> REMARKS <br /> ❑ NON-FRIABLE <br /> FACILITY TICKET NUMBER ASBESTOS <br /> ❑ WOOD <br /> SIGNATURE OF AUTHORIZED AGENT DATE <br /> ❑ ASH <br /> 1 <br /> [] OTHER <br /> CHEDULING MUST BE MADE P IOR 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 /> ITO SCHEDULE CALL (209) 982-4298 MANIFEST # C 5436 <br /> GENERATOR COPY <br />