Laserfiche WebLink
��� �L V1 V!`L11tJV 'a- . D DIS FACIEITY <br /> I P O R A E nz <br /> :x JOBII tPTANC�NO. ` ' 4 <br /> -V rv.M'�V..b-1TYu0l RnM*wru.'+riy' <br /> ". - T_iF -. ❑GLOVES `E IGOGGLES❑RESPIRATOR ❑HARD HAT <br /> TKIr [IT VEK E]OTHER _ <br /> SPECIAL HANDLING PROCEDURES: <br /> 9320 LB <br /> 34200 LB <br /> 20 4 31100 LB <br /> 12:45P 6-14-95 <br /> I,( K L T PJ NF1 N 75720 LB T6 <br /> SfGNATUR�O�_fFFEiORFZEEfiQtGEN&"' '3`}�(OD �}� � ; <br /> W PE' �" �3=' '.� - � ,•.,' `- REEENINCsEL,t <br /> �i <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • ❑ DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ OTHER STOCKPILE MANTECA, CALIFORNIA 953361 <br /> • GENERATING.FACILITY.,, . (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> NAME "-_ - _ . NOTES __.,' TRUCK NUMBER <br /> 'RICH HA IILT07 TRUCVT:IG C <br /> ADDRESS -- / <br /> 1338 PAULINE AVE . <br /> • CITY,STATE,ZJP L <br /> `-IDOFSTO , CA 5R 35353 <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> '03- 73-:100 Ql _ ❑ ❑ <br /> SIGNATURE OF AUTHORIZED AGENT pR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> i <br /> � ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL CUBICYARDs <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 - - <br /> reasonable efforts to promptly notify Disposer of its inability to accept the DISPOSE BIO AERATE 1510 1-!E OTHER <br /> waste for any reason. If.Forward's refusal to accept the waste is based on IL <br /> weather or other site conditions,Forward shall notify the Disposer when site <br /> conditions are expected to change such that �orward will be able to accept <br /> the waste. t ❑ SLUDGE <br /> • REMARKS <br /> ❑ NON-FRIABLE <br /> ._ ._.,.;_.: -,. . . ._....._. ASBESTOS <br /> FACILITY TICKETNUMBER /�Y <br /> ❑ WOOD <br /> SIGNAT KE_F�I ORI D AGENT DATE <br /> LJ ASH <br /> �I �� ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULE,%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# 56534 <br /> TRANSPORTER COPY <br />