Laserfiche WebLink
RD <br /> NON-HAZ. DOUS WASTE MANIFEST <br /> MW- WAWASTE TREATMENT AND DISPOSAL FACILITY <br /> /NC. JOB ACCEPTANCE N0. jC,,jM — 1,-/v <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> C44vOE L C)Cc)05 r4 ❑GLOVES []GOGGLES []RESPIRATOR ❑HARD HAT <br /> MAILING ADDRESS []TY-VEK []OTHER <br /> -F70 zsc/' 7 SPECIAL HANDLING PROCEDURES: <br /> CITY,STATE;ZIP w_ <br /> • fel v L)fSTA- <br /> PHONE <br /> -7c7 379f (v%Z T_ <br /> CONTACT PERSON <br /> L i<< t'7 C 0,^j,+L 1::) <br /> SIGNATURE OF AU);MORIZED AGENT/TMM E DATE <br /> f: <br /> WASTE 7PE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> r-1TREATMENTSOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • Q" DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> E]'-CONSTRUCTION SOIL ❑ ASH <br /> •' ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING.FACILITY (209) 982-4298 PHONE <br /> (209) 982-1009 FAX <br /> NOTES '_M�;..:. :.-•. TRUCK NUMBER <br /> • • CITY,STATE,ZIP <br /> PHONE- <br /> �_. END DUMf?'^; , _.._BOTTOM DUMP _ TRANS R <br /> SIGNAOF UTHOR D AGENT OR DRIVER DATE ROLL-OFF(S)❑ FLAT-BED VAN -.'DRUMS <br /> FORWARD INC. LANDFILL cuBlc��►RD�-_ .�.�. . :-:-. _ .__ [. _�::-. .__r.�.�,. •kv . <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 AERATE <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 /> _ ❑ ASBESTOS <br /> FACILITY TICKET NUMBER 7-777-'. __ _ <br /> __.... _ <br /> ❑ WOOD <br /> SIGOF AUTHORIZED AGENT DATE <br /> ❑ ASH <br /> L' ! OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4L:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL S 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 C <br /> MANIFEST # 3 " 0 3 <br /> GENERATOR COPY <br />