Laserfiche WebLink
FORWARD NON-HAZARDOUS WASTE MANIFEST <br /> �► INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. -7 <br /> GENERATO f fy fUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> MAILING J-AAC E- cam/ ZOGLOVES [-IGOGGLES E]RESPIRATOR [:]HARD HAT <br /> ADDRESS ❑TY-VEK ❑OTHER <br /> ?3 A/ZR-eceJ/-IFA':,�> OF- <br /> CITY, STATE,ZIP SPECIAL HANDLING PROCEDURES <br /> PHONE 1),4 <br /> CONTACT PERSON <br /> WF t C-, 97- 15NV/Fe NTAC (Itrj , IyvC <br /> SIGNATURE OF AUTHORIZED AGENT/TITLE v� DATE <br /> • WAST TYPE ! RECEIVING FACILITY <br /> ❑ SLUDGE <br /> TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • DISPOSAL SOIL ❑ WOOD <br /> r❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> Cox 4 <br /> (209) 982- 1009 FAX <br /> NAME � � NOTES , TRUCI�;,� t <br /> ADDRESS � e ' <br /> i <br /> . • CITY,STATE,ZIP <br /> j � <br /> � <br /> PHONE <br /> END DUMP BOTTOM DUMP T�p�J� <br /> ❑ ❑ pM = <br /> SIGNATURE OFrAI ORI R ENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN <br /> El El <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste if weather or other NJf1RD) <br /> conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL METHOD (TO BE COMPLETED 13Y FOpTH�R <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 sTOCKPII E <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 /> ❑ NON-FRIABLE <br /> FACILITY TICKET NUMBER ASBESTOS <br /> El WOOD <br /> SINNATIVRE OF fj fORIZED AGENT DATE <br /> ` w~ ❑ ASH <br /> "'`- -" r `i ❑ OTHER <br /> ADS ARE <br /> SCHEDULING MUST BE MADE PRIOR TO 4 OU P M THE DAY PRIOR TO EXPECTED ARRIVAL o ANY UNSCHEDULED LY 13 rFC)RE <br /> SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DA <br /> TO SCHEDULE CALL (209) 982-4298 1 <br /> MANIFEST # <br /> GENERATOR rOPV �� <br />