Laserfiche WebLink
ArAft NON-HAZARDOUS WASTE MANIFEST <br /> WARDWASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. - _ eVM--- -1288 <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> THRIFTY OIL COMRRNY ❑GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> MAILING ADDRESS _ ❑TY-VEK [:]OTHER <br /> 100000 LAKEWOOD BLVD . _ - — SPECIAL HANDLING PROCEDURES <br /> CITY, STATE, ZIP <br /> • DOWNEY, CA 90250 <br /> PHONE <br /> 310-923-9876 <br /> CONTACT PERSON <br /> PETER D ' AMICO - - <br /> SIGNA R OF AUTHORIZE q AGENT / TITLE DATE <br /> .. - &ww <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 /> THRTF Y OIL (209) 982- 1009 FAX <br /> 125C ii L1TLSON ;JAY <br /> STOCKTON , CA <br /> NAME NOTES TRUCK NUMBER <br /> RTC + H4M1110N TTUCKINIG �3� <br /> ADDRESS <br /> 1336DAULIBN AVE . LOA7 5u <br /> CITY, STATE, ZIP <br /> �0DESTO , CA 95356 <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> 270—.:78—_j100 I] ❑ ❑ <br /> SIGNATURE OFA ORIZED AGENT OR DRIVER DATE ROLL-OFF(S) FLAT=BED VAN DRUMS <br /> I El El AGENT <br /> El <br /> FORWARD INC. LANDFILL CUBIC YARDS <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 METHOD ( O BE 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 BIO 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 <br /> • <br /> REMARKS <br /> NON-FRIABLE <br /> ❑ ASBESTOS <br /> FACILITY TICKET NUMBER <br /> ❑ WOOD <br /> SIGNATURE OF AUTHORIZED AGENT DATE <br /> ❑ ASH <br /> �� l �i I y�G r ❑ OTHER <br /> SCHQWL!N 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 MANIFEST # 27681 <br /> GENERATOR COPY <br />