Laserfiche WebLink
NON-HAZE )OUS WASTE MANIFEST <br /> F1"RD WASTE TREATMENT AND DISPOSAL FACILITY <br /> INC JOB ACCEPTANCE NO. C l — 12 V p <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> [-]GLOVES ❑GOGGLES ❑RESPIRATOR [-]HARD HAT <br /> MAILING ADDRESS ❑TY-VEK ❑OTHER <br /> CITY,STATE,ZIP SPECIAL HANDLING PROCEDURES: <br /> 7, J v tS7-,4 c A <br /> PHONE <br /> CONTACT PERSON <br /> L /C L� i7C. <br /> SIGNATURY OF AUTI�O.RIZED AGENT/TITLE DATE <br /> 27/ <br /> WASTE V(PE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> NAME . <br /> _ NOTES: Ule MBER - <br /> r Ay <br /> A ESS <br /> • CI STATE,ZIP _ _ .... . <br /> P, <br /> R <br /> p k_. END DUMP BOTTOM DUMP°. TRANSFER. <br /> S NA RE F A TH 1 AGENT OR DRIVER DATE _ ROLL-OFF(S) _ FLAT-BED❑^ 'VAN:- DRUMS <br /> y /7 ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL CUBIC.-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 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 /> ASBESTOS <br /> FACILITY TICKET NUMBER <br /> ❑ WOOD <br /> sidNATURE OF AUTHORIZED AGENT DATE yam' <br /> ❑ ASH <br /> �",�- i 1 Cl y� ❑ 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 THEDAYBEFORE. <br /> TO SCHEDULE CALL (2091 982-4298 MANIFEST # 35040 <br /> GENERATOR COPY <br />