Laserfiche WebLink
(t) - FORWARAI NON-HAZIDOUS WASTE MANIFEST INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE r NO. �t ' w"} <br /> _71 <br /> r r' <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENTStmktf <br /> , 1 <br /> cn P*gkum CQWpRWHGLOVES ❑GOGGLES ❑RESPIRATOR HARD HAT <br /> MAILING ADDRESS - - TY-VEK ❑OTHER <br /> 1903 NDr�v�r <br /> CITY,STATE,ZIP= ;, - SPECIAL HANDLING PROCEDURES <br /> a I <br /> PHA Skddav6Cg520f_ <br /> • - <br /> �2Q9,t462 8707 _ <br /> �1OrNTrAGT,PERSON <br /> SIGNATURE 1=' UTHORIZI;D AGENT / TITLE w v PATE <br /> I <br /> " WASTE _PE__ - _ RECEIVING FACILITY <br /> ❑ SLUDGE 1 <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL ' <br /> • DISPOSAL SOIL <br /> CONSTRUCTION SOIL 0 SH 9999 SOUTH AUSTIN ROAD <br /> ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATINGACIuIy � (209) 982-4298 PHONE # <br /> 3300 West Lame,Stoddog,CA { <br /> (209) 982- 1009 FAX ' <br /> MEIR 1111!1110W�. ' _ TRACTOR LIC # _ TRUCK NUMBER <br /> - - _ TRAILER LIC # �--� <br /> •.GITY, TA'fE, TRAILER LIC # - _ - <br /> - - - <br /> F'HONF � END DUMP BO TOM DUMP TRANS F R <br /> - �Oe_x� —- - ❑ - ❑ <br /> SIG ATU _ A O ZED AG TOR pREVER ' DATE - ROLL'OFF(�S� -__ FLAT-BED -VAN DRUMS - <br /> _ <br /> FORWARD INC. LANDFILL' f El El <br /> CUBLC YARDS ' <br /> ��� <br /> Forward shall have no obligation to accept the waste if weather or other 0 <br /> conditions impair the safe and effective disposal of the waste or if the waste <br /> impairs the safe and effective operation of the Landfill Forward shall use DISPQSAI.METHOD �T "8E= <br /> COMPLETED BY FORWARD) <br /> reasonable efforts to promptly notify Disposer of its inability to accept theDISP E 1310 AERATE STOCKPII`E OTHER <br /> waste for any reason If Forward's refusal to accept the wase is based on <br /> weather or other site conditions, Forward shall notify the Disposer when site IL N { <br /> • conditions are expected to change such that Forward will be(able to accept <br /> the waste <br /> ` + <br /> RMARKs '" —' `` - - ❑ SLUDGE <br /> _ ❑ NON-FRIABLE <br /> FACILITY TlCKE�'rNUMBERASBESTOS <br /> r _ ❑ WOOD '' pl <br /> - SEGNATURE 1=AUTHORIZED A NT <br /> ASH shy <br /> , I <br /> SCHEDULING MIDST BE MADE PRI TO 4 00 THE OAY�ORIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED' LOADS ARE <br /> SUBJECT TO REFUSAL UPON ARRI AL.ON G DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY PEFORE <br /> TO SCHEDULE CALL(209)982-42 GENERATOR COpY i <br /> F011C@511NHI6-98 ' 6'--"S' 6 6 1r <br /> ' MANIFEST # C�' <br />