ARCHIVED REPORTS XR0009816 - Laserfiche WebLink

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WAKU � ,-aY�I�iA�STE TREATMENT AND DISPOSAL FACILJTY f JOB ACCEPTANCE�O. -r� ~-- _ _�� - _ '_ ��_ REQUIRED PERSONAL PROTECTNEEat II ENT GENERATOR ' [:]GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD HAT II a" Sfe ❑TY-VEK ❑OTHER ILWG ADDRESS L15-7- 611, Loeve_�J �vt SPECIAL HANpLING PROCEDURES ' CITY;STATE.ZIP PHONE y zo?-- s �—Slag CONTACT PERSON SIGNATRE OF AUTHORIZED AGENT/TITLE DATE • WASTE TYPE RECEIVING FACILITY ❑ SLUDGE FORWARD INC LANDFILL ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS + ❑ DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD ❑ CONSTRUCTION SOIL ❑ ASH p OTHER MANTECA, CALIFORNIA 95336 GENERATING FACILITY (209) 982-4298 PHONE (209) 982- 1009 FAX C NAME J NOTES TRUCK NUMBER DRESS f 3 '7 - • CITY STATE ZIP r PHONE 4 J �j END DUMP BOTTOM DUMP TRANSFER ® ❑ ❑ SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL❑OFF(S) FLAT-BED V� DRUMS FORWARD INC, LANDFILL CUBIC YARDS Forward shall have no obligation to accept the waste if weather or other J conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL METHOD (TO BE COMPLETED BY FORWARD) impairs the safe and effective operation of the Landfill Forward shall use DISPOSE BIO AERATE STOCKPILE OTHER reasonable efforts to promptly notify Disposer of its +nabehty to accept the waste for any reason It Forwards refusal to accept the waste is based o ❑,SOIL weather or other site cendetions Forward shall notify the Disposer when,site • conditions are expected to change such that Forward will be able to accept— the ❑ SLUDGE waste ` REMARKSNON-FRIABLE ❑ ASBESTOS FACILITY TICKET NUMBER _ ❑ WOOD SIGIATU 7 OF AUTHORIZED,AGENT r DATE - ❑ ASH i% { O~ E�-��.-(, ' ❑ OTHER SCHEDULING MUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL + ANY UNSCHEDULED LOADS ARE SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE TO SCHEDULE CALL (209) 982-4298 MANIFEST C 5477 GENERATOR COPY