Laserfiche WebLink
Nr <br /> ,- Pp�AJ� p® NON HA7� .SOUS WASTE MANIFEST <br /> V i� /� WASTE TI"iTMENT AND DISPOSAL FACILITY <br /> MENJOB ACCEPTANCE NO. <br /> I rL � 93 <br /> - GENERATOR ,REOU,IRED,PERSONALPROTECTIVEEQUIPMENTu;X,_,,.,, <br /> F� E �YE -0f CALIF. ❑GLOVES ❑GOGGLES ❑RESPIRATOR []HARD HAT <br /> MAWN D a El ❑OTHER <br /> pp.,pp.--\pppp. .. <br /> CITY•STATE ZfPX 922021 "— .- ,:r. r�'. : -.—,• SPECIAL HANDLING PROCEDURES: - <br /> • rLISTON, , TEXAS 77292-2021. <br /> 7. <br /> i <br /> Co " T <br /> M t <br /> i SIG TU E�F AITfKOR1ED_:AGENT/TITLE ti DATE" <br /> �k L <br /> WASTE TYPE .. «.a: .' ..._._ . .... RECEIVING FACILITY <br /> ❑ SLUDGE <br /> TREATMENT SOIL - ❑ NONI FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • g DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING,FACILITY ; .;",,4t;� (209) 982-4298 IONONE <br /> 239 S.STOCKTON ST. ;. (209) 982- 1009 FAX <br /> RIPON, CA <br /> NAME NOTES TRUCK NUMBER <br /> RICH HAMILTON TRUCKING y <br /> ADDRESS <br /> 1336 PAULINE AVE ,.- 1 LOAD #6 <br /> CITY,STATE ZIP - " ^ .ti •' <br /> MODESTO,CA 95358 f�Ts END DUMP BOTTOMDUMP.r TRANSFER <br /> PHONE .. _ _.♦"r. ,, - . <br /> (209) ...8-4100 ~,� 1 ❑ ❑ <br /> SIGNATURE 0 AUTHORIZED A Et�T OR DRIVER DATE " , ROLL-OFFS) FLAT-BED y,,VAN . ':DRUMS <br /> ❑ ❑ ❑ ❑ <br /> FORWARD'INC. LANDFILL cuelcYARDs . ..; <br /> Forward shall have no obligation to accept the waste if weather or other 19 f S <br /> conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL METHOD: ,.�(TO BE COMPLETED 13Y FORWARD) <br /> impairs the safe and effective operation of t*Landfill. Forward shall use _ DISPOSE -BIO At 56cC nIF OTHER <br /> reasonable efforts to promptly notify Disposer of its inability to accept the .„._ . ., -. ::h_._. -. <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 4SQtL�•” <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste. ❑ SLUDGE <br /> REMARKS r w;;,K„L,,,;�? ,v.;�„%.s _.«,�.uiv« a �� -...3i � NON-FRIABLE <br /> k ❑ ASBESTOS <br /> • FACILITY TICKET NUMBER ;s; tk ___p,. Ra.,T F " <br /> . ,I ❑ WOOD <br /> r <br /> - SIGNAT OF;A ORIZED-AGEN z,�nr ,,,e, � DATE <br /> - - ❑ ASH <br /> I - ❑ OTHER - <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 'r MANIFEST # 14735 <br /> I`i.. <br /> '!- TAGIJCDl1rlTFr]r:r1OV ( <br />