Laserfiche WebLink
NON-K 'DOUS WASTE MANIFEST <br /> BARD e " _` WASTE TRE RENT AND DISPOSAL FACILITY <br /> b, <br /> //vC. : .JOB AUCEPTANCE,NO. x <br /> .....,.... to ; <br /> F R1=QLI.R_gE PERSQNAPR EC GtVEµ1=E IPivtE FF <br /> x GLOVES GOGGLES RESPIRATOR HARD HAT <br /> PRODUCTION CAR CARE ❑ ❑ ❑ ❑ <br /> MAi_UNG`AI3DEiESS � " `' � 't �t' []TY-VEK ❑OTHER <br /> . _ .. <br /> 1000 E CHAN <br /> CITYSTATE ZIP "!�t#� 77 <br /> �� SPECIAL HANDLING PROCEDURES: <br /> i <br /> STOCKTON, CA 95205 ' <br /> :w M . 777,,7' 71* <br /> r.: <br /> PHONE . - M <br /> .209-943-7337 - <br /> r <br /> CONTACTPERSON. <br /> -PHIL BOLER %'_ ' <br /> SIGMA,UREF AUTHORIZED AGENT T TITLE. u,7_7,7 DATE <br /> Cl <br /> • WASTE TYP RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> ® DISPOSAL SOIL ❑.WOO*_ 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑i"'ASH <br /> .. ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> (209) 982-1009 FAX <br /> NAME ' NOTES: a TRUCK-NUMBER <br /> RICH HAMILTON TRUCKING <br /> ADDRESS <br /> 336 PAULINE AVE LOAD #9 G <br /> . CITY,STATE,ZIP <br /> MODESTO, CA 95358 <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> 209-578-4100 r5 ❑ ❑ <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL cualc YARDS <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 I AERATE STOCKPILE OTHER <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 accept <br /> the waste. ❑ SLUDGE <br /> REMARKS <br /> ❑ NON-FRIABLE <br /> r <br /> FACILITY TICKET NUMBER*,._ ASBESTOS <br /> .. ❑ WOOD <br /> SIGNIATU OF AUTHORIZED AGENT'- DATE <br /> ❑ ASH <br /> t -'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 TRANSPORTER COPY MANIFEST# C 5496 <br />