COMPLIANCE INFO 1993-2002 - Laserfiche WebLink

Home Browse Search

RWAR4 NON-HAZARDOUS WASTE MANIFEST T F I) WASTE TR6.d1MENT AND DISPOSAL FACILITY JOB ACCEPTANCE NO. G �RATOR –� REQUIRED PERSONAL PROTECTIVE EQUIPMENT A 27e ( � ,, L ,1� l []GLOVES ❑GOGGLES ❑RESPIRATOR []HARD HAT MA LING DRESS • ❑TY-VEK ❑OTHER CITY.STATE,ZIP / SPECIAL HANDLING PROCEDURES: PHONE _ Cqb�TACT PERSON SIGNATiiRE OF AUTHORIZED GENT/ TITLE DATE WASTE TYPE RECEIVING FACILITY ❑ SLUDGE ❑ TREATMENT SOIL P—NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL ❑ DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD ❑ CONSTRUCTION SOIL ❑ ASH ❑ OTHER MANTECA, CALIFORNIA 95336 • GENERATING FACILITY , (209) 982-4298 PHONE l C Ciy (209) 982- 1009 FAX NAME NOTES: /J TRUCK NUMBER �• t r S7- AD4ESS f V CITY,STATE,ZIP , y PHONE END DUM BOTTOM DUMP TRANSFER V✓' 7 SIGNATURE OF Al),THORIZED AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUM rf FORWARD INC. LANDFILL cuBlc YARDS Forward shall have no obligation to accept the waste if weather or other conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL METHOD: (T0 4E CO D BY FORWARD impairs the safe and effective operation of the Landfill. Forward shall use DISPOSE BI SfOCKRLE OTHER reasonable efforts to promptly notify Disposer of its inability to accept the waste for any reason. If Forward's refusal to accept the waste is based on ❑ SOIL weather or other site conditions,Forward shall notify the Disposer when site conditions are expected to charge such that Forward will be able to accept SLUDGE the waste. ` REMARKS NON FRIABLE 11,ZBESTOS FACILITY TICKET NUMBER '❑ WOOD SIGNATURE OF AUTHORIZED AGENT DATE ❑ ASH ❑ OTHER SCHEDULING MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS AF SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFOR- TO SCHEDULE CALL (209) 982-4298 MANIFEST # GENERATOR CJP`<'