Laserfiche WebLink
TUKWAKI ) NON-HAZARDOUS WASTE MANIFEST <br /> "I N C Q R P Q R A T E WASTE TR ENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE N0. 771811 <br /> 'GENERATORa REOUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> A h-FWt&Ewy A&t RIGLOVES []GOGGLES ❑RESPIRATOR [HARD HAT <br /> LING ADDRESS ❑ ❑OTHER <br /> TY-VEK <br /> ..,: . b84t>Ca��a�iyra�Rsytd � . ,.. <br /> STATE;ZIP SPECIAL HANDLING PROCEDURES` -t/ <br /> K` IBCA 94320 "` <br /> HONE <br /> 747-2933 1 ,i� <br /> � :�DNTAC'T 1?ERSON ; <br /> Mike <br /> 1G�1A A THORlZDa DATE <br /> 1 . r x <br /> TE TYPE RECEIVING FACILITY-. <br /> ❑ SLUDGE <br /> ' ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> DISPOSAL SOIL9999 SOUTH AUSTIN ROAD <br /> ❑ WOOD <br /> CONSTRUCTION SOIL ❑ ASH <br /> ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336, <br /> GEENERATINGFACILITY (209) 982-4298 PHONE <br /> 2,49 E.4m flarekm Way (209) 9821009 FAX <br /> 1= TRACTOR LIC TRUCK NUMBER <br /> -ADDD�RESStri is sl TRAILER LIC. <br /> FOA;gym Box 579 <br /> CIN,STATE,ZJP TRAILER LIC.#0 <br /> 38)1014CA 94514 <br /> PPHONE END DUMP. BOTTOM DUMP TRANSFER <br /> ❑ ❑ <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN 'DRUMS <br /> FORWARD INC. LANDFILL CUBIO qS <br /> �r <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 DIS METHOD: (TO BE COMPLETED BY FORV164RD] <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 jS=KPR.E! OTHER <br /> waste for any reason. M Forward's refusal to accept the waste is based on <br /> weather or other site conditions,Forward shall notify the Disposer when situ IJ SOIL <br /> ' conditions are expected to change such that Forward will be able to accept, <br /> the waste. `' SLUDGE <br /> REMARKS <br /> ci NON-FRIABLE <br /> ASBESTOS <br /> ,FACILITY TICKET NUMBER <br /> ❑ WOOD <br /> .SIGNATURE OF/�U{'IhfQRIZED AGE ' fD <br /> ! � �.. !` ASH <br /> ❑ OTHER <br /> i � E <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 /> z TO SCHEDULE CALL(209)982-4298 o <br /> FO (C951INW)B-96 SALES COPY MANIFEST# C- <br />