Laserfiche WebLink
FORWARD NON-HAZARDOUS WASTE MANIFEST <br /> INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY <br /> ' JOB ACCEPTANCE NO. <br /> GENEF ATOR }C- REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> O T_/4 Nr r IF g'F_49"" A,- ❑GLOVES [:]GOGGLES ❑RESPIRATOR [:]HARD HAT <br /> MAILING ADDRESS ❑TY-VEK [-]OTHER <br /> CITY, STATE,ZIP SPECIAL HANDLING PROCEDURES <br /> - PHONE <br /> ` �0 N <br /> CONTACT PERSON ov- <br /> ���� �� � F ���� <br /> SIGNATUgg OF AUTHORIZED AGENT/TITLE ' DATE <br /> * r - P/41� -Ogloc <br /> WASIE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ` ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> ,DISPOSAL 501E ❑ 9999 SOUTH AUSTIN ROAD <br /> [I CONSTRUCTION SOIL ❑ ASH ASH <br /> • ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GrENERATING FACILITY (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> NAME&0 y NOTES' TRUCK NUMBER, <br /> ADDRESS o94.1WA <br /> wGTY,STATE,ZIP <br /> / 'k <br /> PHONE — ,R, END❑DUMP BOTTOM DUMP TRANSFER <br /> ,SIGNATURE OF AUTVIORIZED AGENT OR DRIVER DATE ROLL-OFFS) PLAT-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 if 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 Forward's 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 /> ' - <br /> NON-FRIABLE <br /> FACILITY TICKET NUMBER ASBESTOS <br /> r ❑ WOOD <br /> SIGNATURE OF AUTHORIZEVAGEI�, DATE ASH <br /> ' � '� `� f ❑ OTHER <br /> SCHEDULING MUST BE MADE P iQR 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 <br /> MANIFEST # 67978 <br />