Laserfiche WebLink
NON-HAZOUS WASTE MANIFEST <br /> WARD �WASTE TRL.,VIENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. 6y410 I <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> 6vy�t ❑GLOVES ❑GOGGLES ❑RESPIRATOR E]HARD HAT <br /> MAILING ADDRESS s �. [:]TY-VEK ❑OTHER <br /> L/7"- 5 t SPECIAL HANDLING PROCEDURES: <br /> CITY,STATE, ZIP <br /> - PHON <br /> C�7n� �JI�i P. ZOy— ST/ -�✓ <br /> CONTACT PERS N <br /> SIGNATURE OF AUTHORIZED AGENT/(TITLE DATE <br /> • WASTE TYPE ' RECEIVING FACILITY <br /> ❑ SLUDGE FORWARD INC. LANDFILL <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS <br /> • p->SSPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ASH <br /> OTHER <br /> MANTECA, CALIFORNIA 95336 <br /> • GENERATING FACILITY (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> NAME NOTES: - TRUCK NUMBER <br /> 0(6 U <br /> ADDRESS <br /> 3=Sv / A4 14 Vt C(C <br /> CITY,STATE, ZIP r �, r S ��3 57 <br /> END DUMP BOTTOM DUMP TRANSFER <br /> PHONE 6 ❑ <br /> . SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL❑OFF(S) FLATBED VEl DRUMS <br /> ) d <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> 6 <br /> Forward shall have no obligation to accept the waste if weather or other f <br /> conditions impair the safe and effective disposal of the waste or if the waste DISPO L METH (TO BE COMPLETED BY FORWARD) <br /> impairs the safe and effective operation of the Landfill. Forward shall use - , DOSE BIO AERATE STOCKPILE OTHER <br /> reasonable efforts to promptly notify Disposer of its inability to accept the ( <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 acEept- SLUDGE <br /> the waste. <br /> ' REMARKS - NON-FRIABLE <br /> ❑ ASBESTOS <br /> • FACILITY TICKET N�MBER ` ❑ WOOD <br /> SIGNATU /AUOFZ{ZE��AGEN / / DATE ❑ ASH <br /> *..r �-" _ _� _� - �.-��p ,I ❑ 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 # 49627 <br /> GENERATOR COPY <br />