ARCHIVED REPORTS_XR0009074 - Laserfiche WebLink

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i;wwARD NON-HAZARDOUS WASTE MANIFEST WASTE TREATMENT AND DISPOSAL FACILITY INC. JOB ACCEPTANCE NO. GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT ZaUNCG �e�� GLOVES GOGGLES ❑RESPIRATOR ,RFIARD HAT ADDRESS ETY-VEK [-]OTHER SPECIAL HANDLING PROCEDURES: CITY;STATE,ZJI� PHONE CONTACT PERSON : SIGNATURE OF AUTHOR9Z&4GENT/ TITLE DATE WASTE TYPE• RECEIVING FACILITY ' ❑ SLUDGE • ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL • 2-DISPOSAL SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD ❑ CONSTRUCTION SOIL ASH 1 ❑ OTHER MANTECA, CALIFORNIA 95336 GENERATING FACILITY (209) 982-4298 PHONE (209) 982- 1009 FAX NAME NOTES: TRUCK NUMBER ADDRESS ' ,Z3? �✓mac t f/ �,r�t�,,.�� _ A�,� CITY,STATE, ZIP ' PHONE END DUMP BOTTOM DUMP TRANSFER SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS' ' * - ❑ ❑ ❑ ❑ f - ' FORWARD INC. LANDFILL CUBIC YARDS Forward shall have no obligation to accept the waste if weather or other conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL METHOD: ,(T E COMPLETED BY FORWARD) ' impairs the safe and effective operation of the Landfill. Forward shall use - reasonable efforts to promptly notify Disposer of its inability to accept the DISPOSE - BIO AERATE STOCKPILE OTHER waste for any reason. If Forward's refusal to accept the waste is based on - weather or other site conditions, Forward shall notify the Disposer when site ❑ SOIL ' conditions are expected to change such that Forward will be able to accept the waste. _ ❑ SLUDGE RE�VIAFiKS • 'NON-FRIABLE ASBESTOS FACILITY TICKET NUMBER ' - , . - -_ ., = ❑ WOOD - SIGNATU OF AUTHORIZED AGENT DATE- _ _ _ _ .. - _--°�------�--- ❑ ASH "R ❑ OTHER SCHEDULI P MUST BE MADE PRIOR TO 4:00 P.M. THE DAY�PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE ' SUBJECT TO TO SCHEDULE R CALL(PON A IVA .ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. -' ' MANIFEST # 14556 GENERATOR COPY