Laserfiche WebLink
av - = =� } ` NON -H _RDOUS WASTE MANIFEST <br />f® ��/,• r <br />v► [ N C R P O R A D' a WASTE ATMENT AND DISPOSAL FACILITY <br />Q•. _ _:: <br />JOB ACCEPTANCE�O: .. - <br />^f <br />GENERATORt:®' �:.��Fax`` :K ' �� ' x,. v� Y <br />' Ii(QU(ED �'EFiONALOTECTIVE EQUIPIVJENT„w,;: <br />L��' ❑GOGGLES ❑ RESPIRA <br />TOR []HARD HAT <br />[]GLOVES ; <br />MAILII�G'ADDRESS ,`a -S s' .. s4 •°ted ❑ TY-VEK ❑OTHER <br />SPECIAL HANDLING PROCEDURES: ' <br />G _AT URE,_OF �St7TN_ ORIZE kGENT/ TITLE DATE nrt <br />• -AST >7'YP :. . ��i' �" .�.���;:_ �• .. ,:,� Mgr ...::; <br />❑ SLUDGE <br />' ®=TREATMENT SOIL' ❑ NON -FRIABLE ASBESTOS FORWARD INC. LANDFILL <br />• ❑DISPOSAL SOIL ❑ .WOOD . <br />El CONSTRUCTION SOIL ❑ ASH 9.999 SOUTH AUSTIN ROAD <br />• r <br />El OTHER MANTECA, CALIFORNIA 9533.6 <br />GENERATING�FACILITY' ' ` ,, <br />8 PHONE —(209) 982-429 e <br />t <br />&`' I � �'�''� ��• `�� (209) 982-1009 FAX <br />; z , - <br />JQg NUU BER <br />=ADDRES < ASK/ �_gr <br />J o i <br />CITY,<STATEZIP l�.c S� <br />key <br />x' <br />.. w `.. t3� ~SIS.► -is �._ r 5�-:�. -/ I . <br />PHONE- <br />ME Dt__ <br />DUMPf� i <br />w; <br />UMP TRANSFER <br />�Q1 `iv --..�- ❑ �.p <br />IGNATU E F a1TIiORIZEI 4GENT:OR DRIVER <br />.� _. r -=.; ROLLOFF S) FLAT=BEDViN ;DRUMS <br />FORWARD INC. LANDFILL - <br />'CUBiC�Y ps � .. :. <br />/ , �t <br />Forward shall have no obligation to accept the waste if weather or other <br />l • ' <br />conditions impair the safe and effective disposal of the waste or if the waste(TO <br />impairs the safe and effective operation of the Landfill. Forward shall use <br />FI <br />DISPOSAL METPLETED <br />BE -COMP <br />BY <br />W <br />RD <br />! <br />reasonable efforts to promptly. notify Disposer of its inability to accept the <br />> DISPOSE `BIO AERATE <br />Sr <br />O(11R <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 />SI` f <br />° conditions are expected to change such that Forward will be able to accept <br />the waste <br />❑ SLUDGE <br />29, <br />° F <br />❑ NON -FRIABLE <br />i <br />F�C,LITY�TICKET_N <br />ASBESTOS <br />❑ WOOD <br />-__GNATURE� F`AUTFlO -- <br />DATE; <br />j <br />❑ASH <br />❑ OTHER., <br />SCHEDULING MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR <br />TO EXPECTED ARRIVAL • ANY UNSCHEDUEED LOADS ARE <br />SUBJECT TO REFUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST <br />BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br />TO SCHEDULE CALL (209) 982-4298 <br />�c+ oo <br />MANIFEST # U Q ®® <br />SALES COPY -" <br />