Laserfiche WebLink
` 4 <br /> Ar"A ft- T_ � NON-RAZOUS WASTE MANIFEST <br /> WARD <br /> WASTE TR ENT AND DISPOSAL. FACILITY <br /> JOB ACCEPTANCE NO. F7(�" 77, <br /> GENEWQR f _ — _ _ta _u. , r _ .. .zcB EFQUEE EERSONAL PR0TECTIVE EOUlPMENT` r <br /> THRTFTY t]_ILCOMP ANY [GLOVES ❑GOGGLES ❑RESPIRATOR HARD HAT <br /> MAIUI�tG ADDRESS ❑TY VEK <br /> ` ❑OTHER <br /> 100000 LAKEWOOD BLVD . , <br /> -"`" '" -—1 SPECIAL HANDLING PROCEDURES <br /> • DOWNEY,--CA 9Q240— <br /> PHONE <br /> 310-923-9876 <br /> CONTAC-E PERSON <br /> PETER_ D ' A`fICO — -- ' ---- -___ -- — _ <br /> SIGNATURE OF UTHORIZED AGENT/-TITLE DATE <br /> WAJ TYPE _ _ - T - - - - RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • ® DISPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ' ❑ OTHER <br /> • MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> THRIFTY OIL <br /> 1250 N . WILSON WAY (209) 982- 1009 FAX <br /> STOCKTON , CA <br /> t <br /> NAME NOTES -* TRUCK NUMBER <br /> RICH HAMILTON TRUCKING <br /> ADDRESS <br /> 1336 PAULINE AVE. LOAD # 32 <br /> CITY,STATE,ZIP <br /> MODESTO , CA 95358 - <br /> PHONE I I 209-578-4100 END DUMP BOTTOM DUMP TRANSFER <br /> 0 11ElOFrAUORIZED4GENT OR DRIVER DATEROLL-OFF(S) FLAT-BED VAN DRUMS <br /> ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> r M _ <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 METHO (TO 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 B(O AERATE STOCKPILE OTHER <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 <br /> ' conditions are expected to change such that Forward will be able to accept' <br /> • the waste - ❑ SLUDGE <br /> REMARKS _ "-�' _�" = - - - -� <br /> ❑ NON-FRIABLE <br /> FACILITY 71CKET NU _ R ASBESTOS <br /> WOOD <br /> SIGNA'(JR OF T(�i IZED GENT ' � DATE - <br /> f ASH <br /> OTHER❑ 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 MANIFEST # 27662 <br /> TRANSPORTER COPY <br />