Laserfiche WebLink
+�r FORWA 14 NON-HAZEOUS WASTE MANIFEST <br /> `+ INCORPORAA T WASTE TRNT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. 768911 <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> Cs7z i C,�i3 V ®GLOVES ❑GOGGLES [ RESPIRATOR 0 HARD HAT <br /> 11 <br /> MAILING ADDRESS (]TY-VEK ❑OTHER <br /> ar-O mkfiz Cori <br /> CITY,STATE,ZIP SPECIAL HANDLING PROCEDURES: <br /> • <br /> Sob Sm FrMXiSoo,C.R 940SO <br /> ' PHONE <br /> l2!9)467-1006 <br /> CONTACT PERSON <br /> SIGNATU,, OF AUTHORIZED AGENT/ TITLE DATE <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> El DISPOSAL ❑ 9999 SOUTH AUSTIN ROAD <br /> ❑ <br /> CONSTRUCTION SAIL ❑ ASH ASH <br /> ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> 2_2!G Li��'� `-� � RIPON (209) 982- 1009 FAX <br /> NAME- _..------- TRACTOR t1 C.# ./.�.....:.---.:.:TRUCKNt1MBER <br /> ADDRESS TRAILER LIC. {� <br /> • CITY,STATE,ZIP TRAILER LIC. # f, <br /> PHONE ��! ENP.PUMP BOTTOM DUMP TRANSFER j <br /> 46 El <br /> SIGNAT64 3F AUT90RIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS i <br /> El ED El El <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> i <br /> Forward shall have no obligation to accept the waste if weather or other l <br /> con6tiohs impair the safe and effective disposal of the waste or if ;he waste <br /> impairs the safe and effective operation of the Landfill. Forward shall use DISPOSAL METHOD: (TO BE COMPLETED BY FORWARD) <br /> reasonable efforts to promptly notify Disposer of its inability to accept the j DISPOSE 1110 AERATE STOCKALF OTHER <br /> waste for any reason. It Forward's refusal to accept the waste is based on <br /> weather or other site conditions,Forward shall notify the Disposer when site E] SOIL <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste. <br /> ❑ SLUDGE <br /> • REMARKS. ,.. <br /> ❑ NON-FRIABLE <br /> ASBESTOS <br /> FACILITY TICKET NUMBER.,. <br /> .. - .. .1. ......... .�_ ❑ WOOD i <br /> SIGNATUAEbF'AUTHORIZED " <br /> AGEN t DATE <br /> { .. ; .. i , ❑ ASH <br /> �.� <br /> _ � ❑ 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 /> ErO SCHEDULE CALL.(209) 982-4298 .r v <br /> 01(C9511NH)6-96 SALES COPY MANIFEST # Ci <br />