Laserfiche WebLink
ORWARD NON-HAZARDOUS WASTE MANIFEST <br /> INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. - <br /> s 1093 "- <br /> EN TO7 � `� �` `; s . sr��s � REQUIRED PERSONAL-PROTECTItIiEQUiPMENT; .- �< w <br /> [:]GLOVES ❑GOGGLES [:]RESPIRATOR HARD HAT <br /> RESS �_�-' ' " 7! ❑TY VEK ❑OTHER <br /> 640 N. El Dorado St. <br /> • !CITY STATE 7JP�;` ;`r _ �z SPECIAL HANDLING PROCEDURES <br /> ® Stockton, CA 95202 -� <br /> —»�- <br /> (209j 83889888 <br /> ,CONTACT PERSON , - r <br /> Sean Garvey <br /> SIGNAT --THORIZED AGENT!TITLE DATE <br /> Contractor 6/24103 None <br /> WASTE TT'E <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> m Q DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> ;GENERATING FACILITY (209) 982--4298 PHONE <br /> 640 N. Eldorado St . , Stockton, CA (209) 982- 009 FAX <br /> E *�• ' ° —' NOTES �' _ _TRUCK,NUM13ER <br /> Jim Thor a Ox.I Inc. <br /> ADDRESS <br /> P.O. Box 367 <br /> CITY STATE IP <br /> Lodi, CA 95241--0357 <br /> PHONE ` � - , a" <br /> 'T,71 s END©UMP BOTTOM DUMP, TRANSFER <br /> 24913®t3-Ci 5----- - ® ❑ ❑ <br /> rS[GN4TLJP.E OFA ORI D AGENT OR DRIVER HATE _ -ROLL-Off(S) FLAT-SEW , VAN le, DRUMS <br /> ❑ ❑ ❑ In <br /> t _ <br /> f FORWARD INC. LANDFILL CUBIC }Y/ARD�rS�; <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 (TO BE COMPLETED BY FORWARD) <br /> impairs the safe and effective operation of the Landfill Forward shall use 5 <br /> reasonable efforts to promptly notify Disposer of its inability to accept the ,= DISF?OSE _ BIO, AERATE STOCKPI ,,OTHER -, <br /> waste for any reason If Forwards refusal to accept the waste is based on <br /> weather or other site conditions,Forward shall notify the Disposer when site ❑ SOIL <br /> • conditions are expected to change such that Forward will be able to accept <br /> the waste ❑ SLUDGE <br /> a EMARKS -7- <br /> NON-FRIABLE- <br /> • _ ❑ NON-FRIABLE <br /> FA_ UTY TICKET NUMSEi ASBESTOS <br /> / ❑ WOOD <br /> IGNATUREOF A GA _��� a DATE •" t <br /> Y------ ❑ ASH <br /> J J ��1 ���/ ❑ 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 # 12 S LI6 1 <br /> GENERATOR COPY _ <br />