Laserfiche WebLink
NON-HAZk -JOUS WASTE MANIFEST <br /> RW- WARD WASTE TREATMENT AND DISPOSAL FACILITY <br /> Mr. JOB ACCEPTANCE N0. - /2 y v <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> ,,979 q []GLOVES ❑GOGGLES []RESPIRATOR ❑HARD HAT <br /> MAILING'ADDRESS ❑TY-VEK []OTHER <br /> r30A SPECIAL HANDLING PROCEDURES: <br /> CITY,STATE,ZIP <br /> h/0 vISTA C4 <br /> PHONE <br /> 70 37L _GU7Z <br /> CONTACT PERSON <br /> I SIGNATURE OF AUTHORIZED AGEI!R/ TITLE DATE <br /> WASTETYPJc _ RECEIVING FACILITY <br /> r <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NQN-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • [ DISPOSAL SOIL ❑ wooD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ OTHER <br /> j MANTECA, CALIFORNIA 95336 <br /> GENERAnNGRACILITY. : , _ -: - (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> NAME NOTES: ". TRUCK�NUM'BER <br /> i ADDRESS <br /> - <br /> • CITY,STATE.ZIP <br /> PHONE :: END DUMP BOTTOM DUMP 7RANSFg <br /> SIGNATU F AUTHORIZED AGENT.OR DRIVER DATE. _ ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> , , 11 11 <br /> FORWARD INC. LANDFILL cuBlc 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 DISPOSALM OD: (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 AERAT_E( OTHER <br /> waste for any reason. If Forward's refusal to accept the waste is based on <br /> r 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 /> SIGNATURE OF AUTHORIZED AGENT - DATE <br /> ❑ ASH <br /> � i _ ❑ OTHER <br /> 'EDULING MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED .ARRIVAL ANY UNSCHEDULED LOADS ARE <br /> -(,'T TO REFUSAL UPON ARRIVAL.ONGOING DAILY DELIVERIES MUST BE SC4EDUL=D WITH THE LANDFILL THE DAY BEFORE. <br /> "DULE CALL (209) 982-4298 Q 5(') 55 d <br /> GENERATOR COPY MANIFEST * v ", � <br />