Laserfiche WebLink
f L 1 r FORWARD NON-HAZARDOUS WE MANIFEST <br /> INCORPORATED WASTE TREATMENT AND DISPOSAL <br /> ILIT <br /> JCB ACCEPTANCE NO. <br /> GENERATOR <br /> r+ REQUIRED'PERSONAL PROTECTIVE EQUIPMENT <br /> [GLOVES ❑GOGGLES []RESPfRATOR <br /> MAILING AQ"rfARD HAT <br /> DDRESS ❑TY-VEK ❑OTHER <br /> .^�'-1 ��`. \ ` <br /> ��`�4 Iry ,.-'��-'�1 i.'� •( ';�',4�C:�( <br /> CITY,STATE, ZIP ' SPECIAL HANDLING PROCEDURES: <br /> PHONE. <br /> CONITACT PERSON �. <br /> SIGNATURE OF AUTHORIZED AGENT/ TITLE-_ DATE <br /> YI I !j � r�'�i..Y + r;r. .ten. • <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> • ❑ TREATMENT SOIL <br /> ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br />�, • Q DISPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> .. <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING-FACILITY ' <br /> (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> � v�t.'�'��vim� I �l '�� �-� i '•mow` <br /> .NAM_E NOTES- <br /> TRUCK,T <br /> CK UMBER <br /> ADDRESS_ a �; �j%I _. ,�• <br /> 1117 dite �� yr1 A,'J.Z.• _ ,� , �� ^ � <br /> • CITY,STATE;:ZIP <br /> L : PHONE. F, END DUMP: BOTTOM DUMP TRANSFER' <br /> r ❑ ❑ <br /> SIGNATURE OF_AUTHORIZED AGENT OR-DRIVER DATE ROLL-OFFS) s FLAT-BED . �._ VAN DRUMS <br /> ❑ ❑ ❑ � <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> - . . <br /> Forward shall have no obligation to accept the waste if weather or other J <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 Landfilf. Forward shall use <br /> reasonable efforts to promptly notify Disposer of its inability to accept the DISPOSE 810 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 when site E] SOIL <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste. ❑ SLUDGE <br /> REMARKS - <br /> NOWFRfABLE <br /> FACILITY T[CKET NUMBER . ASBESTOS <br /> ❑ WOOD <br /> SIGNATURE OF AUTHORIZED AGENT DATE <br /> J ❑ ASH <br /> - r' - -% i' 'i "t ❑ OTHER <br /> PEI <br /> SCHEDULING MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL s ANY UNSCHEDULED LOADS ARE ` <br /> SUBJECT TO REFUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. f <br /> TO SCHEDULE CALL (209) 982•-4298 <br /> MANIFEST # <br /> - -GENERATCR COPY �_ <br />