Laserfiche WebLink
NON-HAZARDOUS WASTE MANIFEST <br /> r' I N C O R P O R A T F%.,� WASTE TR ENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE N0, F77IS11 <br /> GENERATOR t REQUIRED PERSONAL:PROTECTIVE EQUIPMENT <br /> t Ali- alel �yt EO GLOVES ❑GOGGLES ❑RESPIRATOR HARD HAT <br /> iIAALLiIi ADDRESS ❑TY-VEK []OTHER <br /> 6540 Gvat]yew Read <br /> 'CITY,STATE,ZIP. SPECIAL HANDLING PROCEDURES: <br /> H�.acsw,CA94<28 / <br /> (7071747.2-055 <br /> ;CONTACT PERSON , <br /> !►i�rt ` <br /> SIGNATi1R AUTH <br /> Ali=l+1T DATE ? <br /> I <br /> STE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> DISPOSAL SOI ❑ 9999 SOUTH AUSTIN ROAD <br /> CONSTRUCTION <br /> ASH N SOIL ASH <br /> ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> 'GENERATING FACILITY (209) 982-4298 PHONE <br /> 249EuttLvdi%Way (209) 982- 1009 FAX <br /> NAME TRACTOR LIC. TRUCK NUMBER <br /> TRAILER LIC. <br /> PbA Offk*Eloy 579 <br /> CITY,STATE,ZIP TRAILER LIC.# . <br /> EC, 4451.4 <br /> END DUMP .. BOTTOM DUMP TRANSFER <br /> M' El 11SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLLIOFF(S) FLAT-BED VAN DRUMS <br /> *��r� '` ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL cuBlc YARDS <br /> Forward shall have no obligation to accept the waste if weather or other d <br /> conditions impair the safe and effective disposal of the waste or if the waste DI SAL METHOD <br /> impairs the safe and effective operation of the Landfill. Forward shall use : (TO BE COMPLETED BY FORV RD). <br /> reasonable efforts to promptly notify Dispober of its inability to accept theDISPOSE BIO AERATE ISMCKP.LE OTHER <br /> waste for any reason. If Forward's 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 /> REMARKS <br /> ❑ NON-FRIABLE <br /> ASBESTOS <br /> FACILITY TICKET NUMBER <br /> ❑ WOOD <br /> .SIGNAT4REkF AUTHORIZED A ENT <br /> r <br /> ASH <br /> ❑ 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 8I^v <br /> Fol(c9611NH)6-9s SALES COPY MANIFEST # C <br />