Laserfiche WebLink
} NON-HA�'ARDOUS WASTE MANIFEST <br /> FORWARDu WASTE 4tvkMENT AND DISPOSAL FACILITY <br /> �1VC' JOB ACCEPTANCE NO. <br /> GENERATOR -._-- _ _ ---_, .REQUJRED.QERSONAL PROTECTIVE EQUIPMENT <br /> ?>,fu f�.t/� ,�c-:C . ♦2 f(_ ❑GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> MAILING ADDRESS <br /> 7 ! _ - - --_.. .__ � ❑TY-VEK ❑OTHER <br /> j. <br /> CITY,STATE ZIP SPECIAL HANDLING PROCEDURES: <br /> PHONE <br /> 1 <br /> CONTACT PERSON <br /> 1e i <br /> j SIGNATURE OF AUTHORIZED.AGENT/TITLE. DATE <br /> WASTE TYPERECEIVINGAC <br /> SLUDGE ._.iLffY_, _ _ ��.�.. -- - ----• �. __ <br /> ❑ .� , <br /># ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> ❑ DISPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> n, r• •ff.�� ,�,,• (209) 982- 1009 FAX <br /> NAME' 00TES r TRUCK NUMBER <br /> ff -'; � �}. <br /> If- <br /> ADDRESS <br /> CITY,STATE,ZIP . <br /> PHONE <br /> END DUMP ; -BOTTOM DUMP TRANSFER <br /> Ef <br />} SIGNATURZOF UTHORIZED AGENTOR DRIVER .. DATE ROLL-OFF S FLAT BED <br /> r U <br /> i' <br /> r <br /> DRUMS <br /> VAN <br /> CUBIC Y�,Ros <br /> FORWARD INC. LANDFILL <br /> Forward shalt have no obligation to accept the waste if weather or other /9 <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 B10.:" AERATE STOCKPILE OTHER <br /> waste for any reason. If Forward's refusal to accept the waste is based on <br /> weather or other site conditions,Forward shall notify the Disposer when site ❑ SOIL <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste. <br /> i REMARKS ❑ SLUDGE <br /> ❑ NON-FRIABLE i <br /> ASBESTOS <br /> FACILITY TICKET NUMBER ..;._ <br /> ,.. - ... . _. ❑ WOOD <br /> I Y <br /> SIGNATURE.OFAUTHORIZED.AGENT .------ �y DATE' <br /> � - _ _.. __. ._ -.. _ .....0 ❑ ASH � <br /> ❑ OTHER <br /> 1 <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 /> TO SCHEDULE CALL(209) 982-4298 12075 <br /> SALES COPY MANIFEST # <br />