Laserfiche WebLink
WARD- <br /> NON-HAZARDOUS WASTE MANIFEST <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. <br /> GE ERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT _ <br /> ❑GLOVES [:]GOGGLES ❑RESPIRATOR ❑HAR6 HAT <br /> MAILING ADDRESS _ ❑TY-VEK ❑OTHER <br /> Fl SPECIAL HANDLING PROCEDURES <br /> CITY,STATE,ZIP <br /> - PHONE <br /> CONTACT PERSON - _ ___ _ _ _ f t 7 i r �� {J r �• `1 (� 1 ! <br /> SIGNATURE OF AUTHORIZED AGENT/TITLE� V DATE_- a <br /> a�i 4 <br /> E TYPE Ll RECEIVING FACILITY - <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • 0 DISPOSAL SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY _ _ .. (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> NAME u U NOTES_ -TRUCK NUMBER <br /> ADDRESS - " <br /> • CITY,STATE,ZIP <br /> fil LU.�-LA-t ( IN 5 3 <br /> " END©UMP BOTTOM DUMP TRANSFER <br /> ?L" a 03 <br /> ❑ ❑ 0 <br /> "SIG TUR D AGENT ORDRIVER_ DATE ROLL-OFF(S) - _ T ISED _ -_-EVAN DRUMS <br /> F <br /> CUBIG YARDS - - - <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 DISPOSE BIO^ AERATE STOCKPILE CTTHER <br /> waste for any reason If Forward's refusal to accept the waste is based on L <br /> weather or other site conditions,Forward shaft notify the Disposer when site <br /> ' conditions are expected to change such that Forward will be able to accept <br /> the waste ❑ SLUDGE <br /> • REMARKS ' = - <br /> - NON-FRIABLE <br /> - _ _.� �r�� ❑ ASBESTOS <br /> FAC1iY1T_Y_TICKET NUMBER ___z _ � _w� �_ _ <br /> C - �- ❑ WOOD <br /> SIGNATURE OF AUTHORIZED AGNT� DATE <br /> __....-.._ �.. � _ .._._�— -- --- E] ASH <br /> IL <br /> �❑ OTHER <br /> MENNEN <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(208)982-4298 MANIFEST # 14396 <br /> SALES COPY <br />