Laserfiche WebLink
,",4 `+� ToRwAR ' - �° NON-HAZ DOUS WASTE MANIFEST <br /> ,iNCORPO <br /> " •�+�` RAT WASTE TRMWENT AND DISPOSAL FACILITY <br />' , <br /> JOB ACCEPTANCE N0. . 768411 <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> t.?l�masrn � s❑- GLOVES []GOGGLES ❑RESPIRATOR HARD HAT <br /> MAILING ADDRESS - :, ❑TY-VEK []OTHER <br /> ' �60 aJs_b_1 e CG-,:d SPECIAL HANDLING PROCEDURES: <br /> CITY,STATE,ZIP _ <br /> • 'so-.a:b Sim r rs.ca. sxtCh 9 *.,0 <br /> ' - PHONE <br /> (2091 1}6 f-1 DDD <br /> CONTACT PERSON <br /> SIGNATURE.OF AUTHORIZED AGENT/ TITLE DATE <br /> • WASTE TYPE _ RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • ❑ DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> (209) 982-- 1009 FAX <br /> NAME TRACTOR LIC.#. TRUCK NUMBER <br /> ADDRESS TRAILER LIC.# <br /> • CITY,STATE,ZIP TRAILER LIC.# <br /> _ END DUMP BOTTOM DUMP TRANSFER <br /> PHONE . <br /> _ ; <br /> ❑ ❑ ❑ <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER.. DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL cuBlc YARDS <br /> Forward shall have no obligation to accept the waste if weather or other <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 <br /> reasonable efforts to promptly notify Disposer of its inability to accept the DISPOSE BIO AERATE STOCKP{LE OTHER <br /> waste for any reason. If Forward's 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. ❑ SLUDGE <br /> • .. . ,. <br /> REMARKS <br /> { NON-FRIABLE <br /> _ ❑ ASBESTOS <br /> FACILITY TICKET NUMBER <br /> ._.. :�M-v. ❑ WOOD <br /> SIGNATURF�,�F AUT HORIZED AGENT_`::. ❑ ; <br /> _.1�,���- ` ASH <br /> ER <br /> 10 OTH <br /> CHEDULING 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 /> 0 SCHEDULE CALL(209)982-4298 (� <br /> 1(Csb>>NH)6-as SALES COPY MANIFEST # C 6 y 7 0 5. <br />