Laserfiche WebLink
fORWARU., NON-HP"ARDOUS WASTE MANIFEST <br /> WASTE 1"OfEATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. <br /> - ?56411 <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> California Welding Supply ®GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> MAILING ADDRESS ❑TY-VEK ❑OTHER <br /> 1000 E. 11th St. <br /> CITY,STATE,ZIP SPECIAL HANDLING PROCEDURES: <br /> Tracy, CA none <br /> PHONE <br /> Wm. J. Hunter <br /> SIG AUTHORIZED GE DATE <br /> WASTE TYPE <br /> 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 (209) 982-4298 PHONE <br /> Same as above (209) 982- 1009 FAX <br /> NAME NOTES: <br /> e Oil Inc. <br /> ADDRESS TRU^�CKNUMBER <br /> Jim Thorpe <br /> P.O. Box 357 <br /> • . CITY,STATE, ZIP ? VO 'j <br /> • Lodi, CA 95241-0357 ! / b <br /> PHONE END DUMP BOTTOM DUMP TRANSFER . <br /> • (209)368-6175 Q ❑ ❑ <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> * 10/80/98 ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL CUBIC YARD�� <br /> Forward shall have no obligation to accept the waste if weather-or other C <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 ;'1 DISP SE BIO AERATE STOCKPILE OTHER. <br /> waste for any reason. If Forward's refusal to accept the waste is based on JJ <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 ArUT ORIZED AGENT ATE <br /> t 1/ �/� ❑ ASH <br /> OTHER <br /> SCHEDULING <br /> SCHEDULING MUST BE MADE PRIOR 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 20865 <br /> MANIFEST # <br /> nFSIERATOR COPY <br />