Laserfiche WebLink
I <br /> W-� n NON-HAZARDOUS..WASTE.MANIFEST <br /> WASTE TREATMENT AND DISPOSAL.FACfLITY <br /> I°N:G..D, R"P., ORATED <br /> JOB ACCEPTANCE NO. �krN_,4, � <br /> {�E <br /> P' <br /> ' GENERA ', � ' ., >"« -r" ,REQiJ1RED'•PIISO[VAIARUTEC IVE EG�IJIPIi+lEi11T ' <br /> C.CQ • []GLOVES E]GOGGLES ❑RESPIRATOR , <br /> °> ❑HARD HAT , <br /> MA1LItVGi ( ^'B.� af� &;, •A,. Cr ❑TY—VEK ❑OTHER - . h <br /> G ;STATE ZIP,• � .:a� <br /> .SPECIAL HANDLING_ PROCEDURES <br /> ITY : <br /> ) HONE t s <br /> CONT,4GT PERSON3�` <br /> C ►>ck L4r <br /> ISIG U E:OF•AUTHZED AGENT,°! TITLE: <br /> WASTE�TYPE :. a <br /> RECEIVING'FACILIT ,_ <br /> ❑. SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS ' FORWARD INC: LANDFILL <br /> • 'DISPOSAL SOIL ❑ wooa 9999.SOUTH AUSTIN ROAD . <br /> CONSTRUCTION SOIL <br /> =,.. ❑ ASH . <br /> x; ❑ OTHER; . <br /> MANTECA, CALIFORNIA 95336 <br /> GENET ATING FACILITY (209) 982-4298.PHONE <br /> (209)a'982- 1009:FAX <br /> 3NAME -NOTES: TRUCK'NUMBER';" <br /> ADDR !� a - <br /> .,. A _ <br /> f�lA <br /> : " 0 � _ <br /> j �� ;���_ _. END DUMP�,j.�BOTTOM DUMP' "-�LTRANSFER <br /> SIGNATURE OF.AUTHORIZ-D.AGENT OR.DRIVER DATEROLL❑OFF.( _­TDT_-BED VA❑N <br /> ElFORWARD INC. LANDFILLI CU_ � I ps: <br /> Forward shall have no obligation to accept the waste if weather or other 1 �' <br /> conditions impair the safe and effective disposal of the waste or if the waste O LME (TO BE COMPLETED BY FORWARD)' <br /> impairs the safe and effective operation of the Landfill. Forward shall use { 7 .. �,s ,.- <br /> reasonable efforts to promptly notify Disposer of its inability to accept the CI PO BIO' AERATE STQCl�PILE = OTHER. <br /> - - . <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. <br /> .a ❑ SLUDGE <br /> b ,REMARKS- <br /> ❑ NON-FRIABLE <br /> ACILITY ITITC&­4TNUM ER. - ASBESTOS <br /> F <br /> .,� `_ ___..-.......�._._._.-...-__.__, ❑ WOOD <br /> SIG OF AU�,ORIZED AGENT ` M DATE " <br /> I, —� - ❑ ASH <br /> ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR-TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL ® ANY. UNSCHEDULED LOADS ARE . <br /> ' <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 MANIFEST# 7 <br /> 5 01 <br /> . 'TD F.rG+rJ1 t1YGLti r++•.nor <br />