Laserfiche WebLink
.FORWARD NON-HAZARDOUS WASTE MANIFEST <br />' INCORPORATED - WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO, t _ <br /> NERATOR` - f AE_QUIRE. D PERSONAL.P.ROTECTIV�-EQUIPMENT ' <br /> Bmtkm rchviem GLOVES [:]GOGGLES ❑RESPIRATOR ®HARD HAT <br />' ILING ADDRESS ❑TY-VEK [:]OTHER <br /> �I �"�ct+eet <br /> +CIS Y,SATE,Z!P. SPECIAL HANDLING PROCEDURES <br /> PHONE E , <br /> �TAC�TPERSON <br />' SIGN&l*FiRE OF AUTHORIZED AGENT/TiTLE DATE <br />' .. <br /> �INASTE TYPE - '.^ � �:r RECEIVING FACILITY <br />' ❑ SLUDGE <br /> [] TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • �] DISPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br />' * ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATINGFACILITY e _ _ _ (209) 982-4298 PHONE , <br />' 4U Moodak R°d LATMOP (209) 982- 1009 FAX <br /> r TRACTOR LIC # _ TRUCK NUMBER <br /> ADDR T I - 'Ti 0 i t TRAILER-LIC # Lz2 <br /> - --- --- -- / <br /> 63 <br /> al <br /> CITY,STATE,ZIP _ T _ TRAILER LIC # <br /> PHON µ Iwo ENQ DUM BOTTOM DUMP TRANSFER <br /> SIGfIAT E OF AU ORIZED AGENTR ODRIVER DATE ROLL FFLAT-BED AT-BED VAN DRUMS <br /> f LL"I <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forwards 11 have no obligation to accept the waste if weather or other �r <br /> ponditions impar the safe and effective disposal of the waste or if the waste DISPOSAL METHOD (TO BE COMPLETED BY FORWARD) <br /> Tripairs the saf and effective operation of the Landfill Forward shall use DISPOSE BIO AERATE STOCKPILE OTHER <br /> paasanable efforts to promptly notify Disposer of its inability to accept the <br /> ste for any reason If Forwards refusal to accept the waste is based on SOIL <br /> weather or other site conditions Forward shall notify the Disposer when site <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste � -T SLUDGE <br /> � REMARKS ' <br /> ❑ NON-FRIABLE <br /> FACILITY TICK NU BER <br /> ---� - ASBESTOS <br /> - - ❑ WOOD <br /> N`AT'­URE-- <br /> -AU AGENT DAT <br /> ! _ 21 �7 ❑ ASH <br /> / OTHER <br /> ❑ <br /> SCHEDULING MUST BE MADE PRIORO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL 0 ANY UNSCHEDULED LOADS ARE <br />' SUBJECT TO REFUSAL UPON AV5DML ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> TO SCHEDULE CALL (209)982-4298 <br /> F01(C9511NH)6-96 SALES COPY MANIFEST # C 720216 <br />