Laserfiche WebLink
- <br /> 4 .FoRwARD , NON-HAZARDOUS WASTE MANIFEST <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> RATEDINCORPORATED <br /> JOB ACCEPTANCE N0. _ <br /> ENEATO REQUIRED PERSONALOTECTIVE EQUIPMENTs,;;' ,_ <br /> i, fE]GLOVES [:]GOGGLES 0RESPIRATOR SHARD HAT <br /> MA NGADDRE t `, �'�` �� [:]TY-VEK ❑OTHER <br /> S2I w P;ae iNG PROCEDURES <br /> ,3 sr� � 3- SPECIAL HANDL <br /> 'T�fF STATE;ZIP .� � :;a. K' <br /> CONTAC3RSON <br /> ;,� �r; ��x•- . _��' <br /> AEff�c�at 4 <br /> SIGNATURE F UTHORIZEi3 AGENT/STI L_E DATE <br /> 7k - - <br /> WASTE TI'P "- ,. q s • � `_ RECEIVING i�ACILITY <br /> _ <br /> ❑ SLUDGE FORWARD INC LANDFILL <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS <br /> + 0 DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> - ❑ STOCK PILE ❑ OTHERMANTECA, CALIFORNIA 95336 <br /> + GENERATING FACILITY (209) 982-4298 PHONE <br /> STOCKTON (2 0 9) 982- 1009 FAX <br /> ME y TRACTOR LIC # TRUCK NUMBER <br /> 4-�``i t J -L' \ 1` ti i .. _ '-. .r ti✓ 1 ' t r f <br /> ADDRESS TRAiLR LIC~ <br /> CITY,STATE,ZIP _ TRAILER LIC <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> * w ❑ ❑ ❑ <br />' FORWARD INC. LANDFILL CUBIC YARDS77 <br /> Forward shall have no obligation to accept the waste 6 weather or other 1 'Jp <br /> conditions impair the safe and effective disposal of the waste or if the waste pISPOSAl::METHOD (TO BE COMPLETED BY FORWARD) <br />' impairs the safe and effective operation of the Landfill f=orward shall use DISPOSE BIO AERATE STOCKPILE OTHER <br /> reasonable efforts to promptly notify Disposer of its inability to accept 1 i <br /> waste for any reason If Forwards refusal to accept the waste is based on r�'SOIL <br /> weather or other site conditions Forward shall notify the D:sposer when site <br /> conditions are expected to change such that Forward will be able to accept <br />' the waste ❑ SLUDGE <br /> + REMARKS /~' NON-FRIABLE <br /> //� ❑ ASBESTOS <br />' FACILITY TIC ET NUMB R <br /> ❑ WOOD <br /> IGNATUR OF AUS ORI ED A NT TE <br /> ❑ ASH <br /> J` <br />' * f j ` / ❑ OTHER <br /> r <br />' SCHEDULING TVUST 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 ISCHEDUeE CALL (209) 982-4298 SALES COPY MANIFEST # C 715014 <br />