Laserfiche WebLink
ORWARAo.)' �..,.'NOWHAZA,.w <br /> ice' 1 N C O R P O R A T.E D WASTE TREATMENT AND STE MANIFEST <br /> ISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. `* <br /> :'ENERATOR <br /> REOUIRED PERSONAL-PROTECTIVE EQUIPMENT- <br /> iILING�ADIISS ❑GLOVES ❑GOGGLES [:IRESPIRATOR E]HARD HAT <br /> ❑TY-VEK ❑OTHER <br /> CIfY,24E,2?PSPECIAL HANDLING PROCEDURES: <br />} <br /> i <br /> GONfACT 1 &6N " <br /> i <br /> SICUT?UIE.§F ATI j `LED AGENT,/TITLE DATE <br /> WASTE TYPE I <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 />' ❑:STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> r <br /> GENERATING FACILITY <br /> r�� r (209) 982-4298 PHONE <br /> 16 S w Sr <br /> 7 ' y [ » (209) 982- 1009 FAX i <br /> i s �� <br />�i Ei <br /> }{ ir Ci;.. `r #j ., TRACTOR LIC. TRUCK NUMBER, <br /> ADDRESS ' j I '1'.'" <br /> ++'a fC7c. + `�+ TRAILER LIC.# r <br /> . CITY,STATE,ZIP "7 qS 414TRAILER L! # F <br /> PHONEL107 END DUMP BOTTOM DUMP TRANSFER ' <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE . ROLL-0FF(5) FLAT-BED VAN DRUMS <br /> i <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> i 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 /> k 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. <br /> • REMARKS ❑ SLUDGE t <br /> s, <br /> NON-FRIABLE <br /> FACILITY TICKET NUMBER ❑ ASBESTOS i <br /> ❑ WOOD <br /> . .SIGNATUR 'O�HORIZED AGE Dq <br /> ❑ ASH <br /> �� ❑ OTHER <br /> k SCHEDULING MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL a 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 /> FO (C9511NH)6-95 SALES COPY' MANIFEST # C <br /> 795754 <br />