Laserfiche WebLink
., NON-HAZARDOUS WASTE MANIFEST <br />�-' FORWARD <br /> WASTE TREATMENT AND DISPO A FACcILITY <br /> INCORPORATED ' 7W7,1Q7 ,� <br /> ..+. r JOB ACCEPTANCE NO. ' 331 - s <br /> _REOULRED PERSONAL PROTEglkF_EQUIPMENT <br /> Banda pdzvk= ]GLOVES [-]GOGGLES ❑RESPIRATOR ®HARD HAT <br /> MA]LI�1G ADDRES .: s . 4�� z ;� ❑TY VEK ❑OTHER <br /> ySMatPme <br /> � r ---, �- - - SPECIAL HANDLING PROCEDURES <br /> 17,3CITY STA ZIP �°- �,s <br /> (20-4)343-2011 _ <br /> _C.OM_A_CT PERSON �•`. .��."�....�;��..�"�. k�a� �`�'_... � .��._ <br /> SIGNATUREAUTHORIZED AGENT%TITLE 'r DATE F '- „ <br />� " - <br /> YUASTE*_TYPE�� fib- .� �:' �» _ � _ RECEIVING FACILITY » <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> fil DISPOSAL SOIL ❑ wool) 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATINGFACILITY (209) 982-4298 PHONE <br /> ; f xszy Dme STOCKTON (209) 982- 1009 FAX <br /> AME ' rQ/ r T�/YJ9 TRACTOR LIC # 5P75(-,3TRUCK NUMBER <br /> ADDRESS r_c3/S •57mOl-a TRAILER LIC # I <br /> • CITY, STATE,ZIPy,L�QdS �Cl�� TRAILER LIC # <br /> • <br /> PHONE r f END DUMP BOTTOM DUMP TRANSFER <br /> - Avco f - �, J9--Q.��(G ❑ ❑ <br /> SIGNATURE OFIAUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligatson to accept the waste it weather or other I <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 DISPOSE 810 AERATE STOCKPILE OTHER <br /> reasonable efforts to promptly notify Disposer of Its inability to accept the <br /> waste for any reason If Forwards refusal to accept the waste is based on <br /> weather or other site conditions Forward shall notify the Disposer when site ter <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 />' FACILIT_YAKET NU BER,_ <br /> 1 ❑ WOOD <br /> IGNATURE'OF U 7,, <br /> AGENT GATE <br /> / / f ASH <br /> 7k r /J / / ❑ 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 /> TOtSCHEDULE CALL (209) 982-4298 E <br /> FO I I <br /> MANFST # C <br /> SALES COPY 715007 <br />