Laserfiche WebLink
i <br /> NON-HAZARUS WASTE.MANIFEST <br /> l WARD WASTE TREATMENT AND DISPOSAL FACILITY <br /> _ JOB ACCEPTANCE.:6. <br /> GENERA R w. ..- .. .- . .,-.;,•,:� �_,;:.:,.;�.�,�'s3;� �.SQUIRED;PERSONAL•.PROTECTIVEEQUIPMENT <br /> ®GLOVES C]GOGGLES []RESPIRATOR HARD HAT <br /> ILIN ADDRESS . 3y , , .a ❑TY-VEK ❑OTHFR <br /> -• '�''� SPECIAL HANDLING PROCEDURES: <br /> STATE,ZlP <br />• --STC" 7`r Al fi <br /> '1.Sal <br /> JL5{r+ <br /> -PH r <br /> �ONlTACTPER N 'w �' �s?.'.{ wk ; <br /> SIGNVATURE.. AUTHORIZED AGl�7 /',7 LE <br /> A. <br /> WASTE TYPE RECEIVING FACILITY '• ?:'`: e: :.'<,:.;: -. <br /> ❑ SLUDGE <br /> ® TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br />' ❑ DISPOSAL SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ] CONSTRUCTION SOIL ❑ ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> iENERATINGFACILITY : i (209) 982-4298 PHONE <br /> (209) 982 . 1009 FAX <br /> ••. Lam`�1L.4�Te_ .Zcic- . <br /> NAME ,x 4 9 i vz %` Viz" ; LICK NUMBER <br /> :� ia � i� NOTES.::: <br /> ,DDR <br /> • CITY,STATE,2117 : �. ;'•r. ? ,� °T` r' �'= <br /> HONE "���`� A101 <br /> U�' ; Ei_VD DUMP DUMP.. . TRANSFER:... <br /> 7'S•a' 7T ❑ <br /> IGNATI! F AUTHORIZED;AGENT O DRIVER aAT>= ` ?� RO�I:=�FF(S) � F,EAT BEDVANdRUMS . <br /> FORWARD INC. LANDFILL <br /> -'].w��� }Gt�isi7..t -•i�i.5 ..i -_-:_:.S,h R <br /> Forward shall have no obligation to accept the waste if weather or other <br /> conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL MET ODf <br /> impairs the safe and effective operation of the Landfill. Forward shall use N (TO BE COMPLETED BY FORWARD) <br /> asonable ,efforts to promptly notify Disposer of its inability to accept the ! ` ` DNSAOSE 6 $[O7 AERATE STpCKPILE: 'OTHER <br /> waste for any reason, It Forward's refusal to accept the waste is based on <br /> ,y 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. ❑ <br /> s SLUDGE <br /> atti'�,��.�"�-�' , <br /> _ ❑ NON-FRIABLE <br /> QC I�T „ ICY t�QM40,`_ � ty ASBESTOS <br /> ❑ <br /> "• WOOD <br /> SI 'i{1RF,1 ORIZED ANMI <br /> GENT=ycr. `� A <br /> E] ASH <br /> L.=?.�.rr.,1�����-- . ly. /I.�! ,��1• ❑ OTHER. <br /> S( IEDULtNG `BUST BE MADE PRIOR TO 4:00 P.M. THE DAY _PRIOR TO EXPECTED' ARRIVAL a ANY UNSCIiEDULED LOADS .-ARE <br />-S! _ - _ '.I_ -'3 r'•.I '.1= - ... ..�Ir•^n.}r= ��.,_, _ <br /> 49M1rIF�CT d <br />