ARCHIVED REPORTS_XR0004992 - Laserfiche WebLink

Home Browse Search

FORWARD NON-HAZARDOUS WASTE MANIFEST �d INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY JOB ACCEPTANCE NO. "T - NERATOR _ REQUIRED PERSONAL PROTECTIVE EQUIPMENT GLOVES El GOGGLES ❑RESPIRATOR ARD HAT MAILING ADDRESS _— — Ll 'Y-VEK ❑OTHER n " �0x CITY, STATE, ZIP —� '�— �`-- --- - SPECIAL HANDLING PROCEDURES _ b cT PERSO SIGNATURE OF AUTHORIZED AGENT/ TITLE DATE ' WASTE TYPE RECEIVING FACILITY ❑ SLUDGE ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL • 1W DISPOSAL SOIL ❑ WOOD ❑ ONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD ❑ OTHER MANTECA, CALIFORNIA 95336 GENERATING FACILITY -- _ — (209) 982-4298 PHONE (209) 982- 1009 FAX AME NOTES - — TRUCK NUMBER CITY,STATE,ZEP — - LJ , �- _ _ END DUMP —BOTTOM DUMP _—TRANSFER ,SIGNATURE OF-AA IZA__AGENT OR DRIVER _DATE ROLL-OFF(S) FLAT-BED _- VAN DRUMS FORWARD INC. LANDFILL CUBIC YARDS Forward shall have no obligation to accept the waste if weather or other conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL METHOD (TO BE COMPLETED BY FORWARD) impairs the safe and effective operation of the Landfill Forward shall use -- reasonable efforts to promptly notify Disposer of its inability to accept the DISPOSE 810_ AERATE STOCKPILE OTHER waste for any reason If Forwards refusal to accept the waste is based on SOIL weather or other site conditions, Forward shall nota the Disposer when site conditions are expected to change such that Forward will be able to accept the waste ❑ SLUDGE � (REMARKS -----� -- - --- --�-- ■ ❑ NON FRIABLE 'FACILITY TER ASBESTOS ICKET NUMB _ ._. —_...�_ [:1 WOOD SIGNATUFt AUTHORIZI D,AGENT DATE - -_ _�. _ � _ _ _ __.._. _ .__ _ ❑ ASH OTHER r SCHEDULING MUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL m ANY UNSCHEDULED LOADS ARE SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE TO SCHEDULE CALL (209) 982-4298 MANIFEST # 129905 GENERATOR COPY