Laserfiche WebLink
WARD <br /> NON-HAZ 90US WASTE MANIFEST <br /> FORWASTE TREATMENT AND DISPOSAL FACILITY <br /> INC. JOB ACCEPTANCE NO. - <br /> rzy 0 <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> CJIX Ocw ...'7v ❑GLOVES []GOGGLES ❑RESPIRATOR [:]HARD HAT <br /> MAILING ADDRESS __ ❑TY-VEK ❑OTHER <br /> CITY,STATE;ZIP ' SPECIAL HANDLING PROCEDURES: <br /> PHONE <br /> CONTACT PERSON <br /> SIGNATURE OF AL�MPRI27 AGENT/TITLE DATE: <br /> OAL la I/ <br /> WASTE?YPE � 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 Y#,� M1: ,_ .._-.x- _.;.. . . '_"-TRC NUMBER. <br /> f NOTES.• <br /> -,-;----'MUCK <br /> ADDRESS ti - ,_ >- 7 <br /> • CITY,STATE,ZIP. <br /> PHONE z :. END DUMP BOTTOM DUMP TRANSFER <br /> SIGNATURE OF AUTHORIZED,�1G - NER DATE` DROLL-0FF(S} VAN <br /> „r_ _ FLAT BED DRUMS <br /> El ❑ ❑ ❑ <br /> i <br /> FORWARD INC. LANDFILL cuelc YnRos_ <br /> Forward shall have no obligation to accept the waste if weather or other <br /> cy <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 Bla•: _AERATE(sTj 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 /> SIdNATURE OF AUTHORIZED AGENT DATE. - <br /> ❑ ASH <br /> 91/4 ❑ 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 MANIFEST * 35050 <br /> GENERATOR COPY <br />