Laserfiche WebLink
t NONE-HAZ," ,3DOUS WASTE MANIFEST <br /> _ I N C O R IP Q R A T E� WASTE TR MENT AND DISPCXSAL FACILITY <br /> JIB ACCEPTANCE No. ?9,_.31—— -700 <br /> GENERATOR y,« �'} REOUIR,ED'PERSONAL PROTECTIVE EQUIPMENT <br /> []GLOVES ❑GOGGLES Fl RESPIRATOR ❑HARD HAT <br /> MAILINGADDRESS ❑TY-VK []OTHER <br /> 1Qj -... �.,�... S <br /> CITY;STATE„ZIP PECIAI.HANDLING PROCEDURES: <br /> PHONE '` - •+. ,. �_ ,s�.,w.,.T-. _ ,w• . ... <br /> ��"�'�� <br /> -4k <br /> y_. "'.'! _ :Dir.a•�.-%e�sr+e wi ..s.s+a*err.w.:.:.:. w wr-'mrer v. <br /> t CONTACT PERSON <br />. "`tom +��-�t4=a,• ��L'>.'i'�'��#Y��. , <br /> SIGNATURE-OF AUTHORIZED AGENT TITLE.. CICTE ,w <br /> i ' <br /> WASTE TYPE.e RECEIVING FACILITY <br /> ❑ SLUDGE � :Y i <br /> (� TREATMENT SOIL :nNON-FRIABLE ASBESTOS IFOM" IINIQ LANDFILL <br /> DISPOSAL SOIL ❑ WOOD .{ <br /> ❑ CONSTRUCTIONSOL ❑ A'so 9,99 SOUTH AU TIN ROAD <br /> '• ,� OTFiEFt. <br /> MA;NTE A, ALIFt RNIA 9S 3 <br /> E.NEIMT»U I=Ac�u rY { C►►9} 9 - $ PF-I( f' E <br /> NfVIE.... . "' " NOTES MBER <br /> ADDRESS ItA 7 . <br /> CITY;STATE,iw! .QIP _ <br /> .: .,....,-1-__,.,:. F <br /> PHONE .. , �••' " , END:0UMP BOTTOM DUMP TRANSFER <br /> ' dSGNATUREQF AUHfZGENO _ -w w✓•..m r. aF. it �Wt <br /> aCAT-BED <br /> wr- <br /> ANW <br /> VAf�I,�� ,�DFIUMS <br /> �a <br /> — .:.t, .: cynic �C,t�ls _ <br /> s: - <br /> FORWARD INC. LANDFILL ~� <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 ,_ _ f)ISPOSE Slt) 1 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 wrhen site ❑'�Ot � <br /> conditions are expected to change such that Forward 411 be abie to accept <br /> the waste. ❑ SLUDGE <br /> REMARKS <br /> ' NON-FRIABLE <br /> :, ASBESTOS <br /> FACIrLITY TICKET NI:IMBER'M <br /> ❑ WOOD <br /> SIdN'A'TUI E F A THORIZ D AGENT '. DATE <br /> Q <br /> � �` ASH >; <br /> ,y` -mss y ❑OTHER <br /> SCHEDULING MUST BE MADE PRIOR6`LO 4-00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL + ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL UPON ARRIVAL.ONGOING DAILY DELIVERIES MIDST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE, <br /> TO SCHEDULE CALL(209)982-4298 _ <br /> MANIFEST# -106299. <br /> GENERATOR COPY <br />