WORK PLANS - Laserfiche WebLink

Home Browse Search

NON-HAZf.. .,JOUS WASTE MANIFEST FGRWARD WASTE TREATMENT AND DISPOSAL FACILITY INC. JOB ACCEPTANCE N0. 10 �,7m - / 2- Y = GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT (.J 00lj._.-r_ e/OS��I ❑GLOVES []GOGGLES ❑RESPIRATOR []HARD HAT MAILING ADDRESS ❑TY-VEK ❑OTHER r U -2SPECIAL HANDLING PROCEDURES: ZI CITY,STATE, P - - PHONE .._4_. CONTACT PERSON SIGNATURE OF AUT�IORIZED kGE T!TM-E DATE � . / , WASTE TAPE RECEIVING FACILITY ❑ SLUDGE ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL • ❑KDISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD ❑ CONSTRUCTION SOIL ❑ ASH •• ❑ OTHER MANTECA, CALIFORNIA 95336 GENERATING FACILITY :.. (209) 982-4298 PHONE (209) 982- 1009 FAX I NAME NOTES' TRUCK NUMBER ADDRESS • CITY,STATE.ZIP _ .. PHONE END DUMP BOTTOM DUMP TRANSFER ❑ ❑ ❑ SIGNATURE_OF A- ORIZED AGENT OR DRNER DATE ROLL:_OFF . S) FLAT-BED VAN DRUMS. CUBIC YARDS FORWARD INC. LANDFILL Forward shall have no obligation to accept the waste if weather or other C C1 conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL METHOD_ (TO BE COMPLETED BY FORWARD) impairs the safe and effective operation of the Landfill. Forward shall use reasonable efforts to promptly notify Disposer of its inability to accept the DISPOSE BIO AERATE STOCKPILE OTHER waste for any reason. If Forward's refusal to accept the waste is based on c-1 weather or other site conditions, Forward shall notity the Disposer when site 0 SOIL ' conditions are expected to change such that Forward will be able to accept the waste. ❑ SLUDGE REMARKS NON-FRIABLE FACILITY TICKET NUMBER __ - ❑ ASBESTOS ❑ WOOD SIGNATURE OF AUTHORIZED AGENT DATE ". C] ASH Y ❑ OTHER SCHEDULING MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL + ANY UNSCHEDULED LOADS ARE SUBJECT TO REFUSAL!JPON ARRIVAL.ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. TO SCHEDULE CALL (209) 982-4298 MANIFEST * 3 5 05 3 GENERATOR COPY