ARCHIVED REPORTS_XR0009074 - Laserfiche WebLink

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' WARD NON-HAZARDOUS WASTE MANIFEST 4 WASTE TREATMENT AND DISPOSAL FACILITY JOB ACCEPTANCE NO. GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT 12GLOVES [.GOGGLES ❑RESPIRATOR OIARD HAT MAILING ADDRESS _ ❑TY-VEK ❑OTHER SPECIAL HANDLING PROCEDURES: CITY,STATE,ZIP -- • - PHONE CONTACT PERSON SIGNATURE OF AUTHORIZED AGENT/TITLE DATE F- S 5 WASTE TYPE - _ RECEIVING FACILITY ❑ SLUDGE ' ` ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL • ❑.IISPOSAL SOIL ❑ WOOD F1 CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD ' ❑ OTHER MANTECA, CALIFORNIA 95336 . w GENERATING FACILITY. (209) 982-4298 PHONE (209) 982- 1009 FAX NAME NOTES: TRUCK NUMBER ADDRESS ! . • CITY,STATE,ZIP - ' PH_ ONE END DUMPw BOTTOM DUMP TRANSFER . SIGNATURE OF A_UTHO ED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED_ VAN DRUM �y ❑ ❑ ❑ ❑ 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: (TO BE COMPLETED BY FORWARD) ' impairs the safe and effective operation of the Landfill. Forward shall use w reasonable efforts to promptly notify Disposer of its inability to accept the DISPOSE SIO AERATE STOCKPILE OTHER waste for any reason. If Forward's refusal to accept the waste is based on SOIL - weather or other site conditions, Forward shall notify the Disposer when site ' conditions are expected to change such that Forward will be able to accept ' the waste., - �- ❑ SLUDGE • REMARKS NON-FRIABLE ❑ ASBESTOS FACILITY TICKET NUMBER DATE ' - _ -_ _ El WOOD SIGNATURE.OF AUTHORIZED AGENT :. [j ASH ❑ OTHER SCHEDULING MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR-TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE ' SUBJECT Q982-4298 ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. TO SCHEDULE CALL( MANIFEST # 14557 GENERATOR COPY