Laserfiche WebLink
' <br /> FORWARD <br /> NON-HAZARDOUS WASTE MANIFEST <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> INC. JOB ACCEPTANCE NO. <br /> GENERATOR _ -REQUIRED PERSONAL PROT_ECTIVE.EQUIPMEN•T; <br /> ��� � [GLOVES [•GOGGLES []RESPIRATOR HARD HAT <br /> MAILING ADDRESS - - _ _ _ ❑TY-VEK [:]OTHER <br /> SPECIAL HANDLING PROCEDURES: <br /> CITY,STATE,ZIP <br /> _PHONE__ --. _- --- ---- - <br />' CONTACT PERSON _ - - - -- -- - - <br /> SIO'I4ATURE.OF AI THO D 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 /> •• ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> afo17Qu A, (209) 982- 1009 FAX <br /> NAME. NOTES: TRUCK NUMBER <br /> usJ- <br /> ADDRESS <br /> • CITY,STATE,ZIP_ <br />' PHONE END DUMP BOTTOM DUMP . TRANSFER <br /> SIGNATURE OF AUTHORIZE_ D AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN-- -DRUMS <br /> ❑ ❑ ❑ ❑ <br /> * r <br /> FORWARD INC. LANDFILL CUBIC YARDS 1 ll Forward shall have no obligation to accept the waste if weather or other V <br /> conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL METHOD: (TO E 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 SIO - <br /> AERATE STOCKPILE 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 1 <br /> REMARKS _ _ <br /> • _-- ___ _� -- - -- --__ -__ NON-FRIABLE <br /> __ ❑ ASBESTOS ' <br /> FACILITY TICKET NI.INIBER <br />' - - - _ - - ❑ WOOD <br /> SIGNATURE OF AUTH- ORIZED AGENT- -DATE. f <br /> _ _ - 4_- , _. - ❑ ASH <br /> ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR-TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> SU JECT TO REFUSAL <br /> LE CALL{P 882- 4 98 ONGOING DAILY DEUlig IES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> " . MANIFEST# <br /> 14554 <br /> GENERATOR COPY <br />