Laserfiche WebLink
FORWAR49 NON-HAL 3DOUS WASTE MANIFEST <br /> V� INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. 724911 <br /> FjFQUIRED P�RONAL PROTECTIVE EQUIPMENT <br /> 'QGLOVES"Q GOGGLES [—]RESPIRATOR HARD HAT <br /> M�WGDD,�F � rte, ❑TY-VEK ❑OTHER <br /> SP4GIAL�l. D1.l,NCiPJ30CEDU ES;, <br /> CiN••+j�T�.T�t.ZIP "_i � ..�. �,..lt�t_i 3R..-._.., - <br /> PHONE <br /> .. i <br /> SIGNATUfl�OF AUTHORIZED A,gFFNT/TITLE DATE /JOB-Ir 492-0(iQ_' <br /> .. <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • ❑ DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> ,TT%IACY (209) 982- 1009 FAX <br /> T <br /> TC OR LIC.# TRUCK UMBER <br /> TRAILE # Abp <br /> rtA <br /> ' 4i TRAILER LIC.# ' <br /> . CL,YuSJJ TE,.,ZSIP �: <br /> PF NO) s _<flcr� z , i_ - F MOW END DUMP BOTTOM DUMP TRANSFER <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> FORWARD INC. LANDFILL CUBIC YARDS,�' <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 j DISPOSE BIO AERATE STOCKPILE OTHER <br /> waste for any reason. If Forward's refusal to accept the waste is based on r=1 SOIL <br /> weather or other site conditions, Forward shall notify the Disposer when site u <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste. ❑ SLUDGE <br /> • REMARKS <br /> ❑ NON-FRIABLE <br /> ASBESTOS <br /> FACILITY TICKET NUMBER <br /> ❑ WOOD <br /> SIGNATURE OF AUTHORIZED AGENT DATE <br /> ❑ ASH <br /> 1 thy` / <br /> r ❑ OTHER <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 /> ToO SCHEDULE sE CALL (209) 982-4298 a <br /> SALES COPY MANIFEST # C ^ 4 7 7 x 9 <br />