Laserfiche WebLink
FORWARD NON-HAZARDOUS WASTE MANIFEST <br /> INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. ;' <br /> GENERA OR r�7C j [,o REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> fi "� r F fz O c-./ ,V E]GLOVES [:I GOGGLES E:1 RESPIRATOR El HARD HAT <br /> MAILI G ADDRESS ❑TY-VEK []OTHER <br /> CITY,STATE, Zip SPECIAL HANDLING PROCEDURES <br /> • ,1 �� �It-ar r /t" c 1�l C10/_7A/1C11/_11_111f 74--e7 <br /> s+L <br /> - PHONE <br /> CONTACT PERSON �-� , <br /> SIGNATURE OF AUTHORIZED AGENT /TITLE DATE f <br /> WASTE TYPE l RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> •DISPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY }" <br /> (209) 982-4298 <br /> °PER' <br /> --�� �" ,�" ���►� >* � � � [�.� (209) 982- 1 - <br /> NAME f � �r,�� - �. w. cry.{ NOTES ;, <br /> r� <br /> ADDRESS <br /> g <br /> CITY,STATE, ZIP <br /> D� PrNI�ERxw� <br /> PHONE END DUMP BOTT Q VAN DR <br /> UMS <br /> SIGNATUU E OF AUTHORIZED APENT OR DRIVER DATE ROLL--❑OFF(S) FLAT SES ❑ El <br /> E '�... l 1�� til ❑ - ❑ <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste if weather or other WPLETED BY FORWARD) <br /> conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL METHOD (TO �E G`7�,,,rE ILEJ OTHER <br /> impairs the safe and effective operation of the Landfill Forward shall use AE <br /> reasonable efforts to promptly notify Disposer of its inability to accept the DISPOSE BIO <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 /> ❑ <br /> - <br /> SIGNATURE-OF Al j. HORIZED AGENT DATE WOOD <br /> ❑ ASH <br /> ❑ OTHER GHEDULED LOADS ARE <br /> SCHEDULING MUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL ® ANE ANNOFILL THE DAY BEFORE <br /> SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH TH4 5f # <br /> TO SCHEDULE CALL (209) 982-4298 IFS 86309 <br /> GENERATOR COPY <br />