Laserfiche WebLink
L,�� � NON HAZARDOUS WASTE MANIFEST <br /> UKWAK <br /> I N C O.R P O R A T I [9,.,✓ WASTE TRY ENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE N0. L771811 #j <br /> GENERATOR ' <br /> REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> 144.e qui-FF-_q&F-m),!-Ian [S]GLOVES n GOGGLES ❑RESPIRATOR EQ HARD HAT <br /> MAILING ADDRESS__ w _ - ❑TY-VEK ❑OTHER <br /> (,gal <br /> CITY, STATE,ZIP SPECIAUHANDLING PROCEDURES: <br /> • 1 -_CA 94520 <br /> PHONE <br /> (?�<}741-29555 — ` 7C3., <br /> CONTACT PERSON <br /> r SIGNATURE O' F'AUTHOIZED AG�Nl�-TITLE DATE R j <br /> WASTE TYPE RECEIVING FACILITY <br /> ti ,. <br /> I{ <br /> - ❑ SLUDGE I <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> Q DISPOSAL SOIL ❑ wooD 9�ggg'!SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY i+(209) 982-4298 PHONE <br /> (2'09) 982-' 1009 FAX <br /> NAME TRAC,TO, LIC. . a l TRUCK NUMBER <br /> t ADDRESS TRAILERLIC/..# � <br /> � !J A <br /> CITY,STATE, ZIP TRAILER{LIC. # ! <br /> PHQNE4- J END DUMP r BOTTOM DUMP TRANSFER <br /> ❑ ❑ <br /> SIGNATURE Of AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> FORWARD INC. LANDFILL cuBlc YARDS, <br /> l� <br /> .i <br /> Forward shall have no obligation to accept the waste'rf weather or ocher <br /> conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL METHOD: (TO BE COMPLETED BY FORWARD) <br /> y impairs the safe and effective operation of the Landfill. Forward shall use _ ya <br /> reasonable efforts to promptly notify Disposer of its inability to accept }he _ r DISPOSE BIO AERATE STOCKPILE OTHER <br /> waste for any reason. It Forward's refusal to accept the waste is based. n ❑ SOILI <br /> weather or other site conditions, Forward shall notify the Disposer whep�site._: ,1 t <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste. ❑ SLUDGE <br /> s <br /> REMARKS <br /> NON-FRIABLE <br /> ❑ ASBESTOS <br /> FACILITY TICKET NUMBER <br /> WOOD <br /> SIGNATURE OF A601EJ�Zl)�'GENT DAVE <br /> ? I <br /> ❑ ASH Il <br /> % 14 1 / 1 ❑ 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 a ` '3 - ;� <br /> F01 ic951 5Nrl1 s-ss SALES COPY MANIFEST # Ci }_',;; (1[} <br /> { 6 <br />