Laserfiche WebLink
Arm <br />u wmv WARD <br />INC ,106 ACCEPTANCE N0. <br />NON -HAZE _)OUS WASTE MANIFEST <br />WASTE TREATMENT AND DISPOSAL FACILITY <br />GENERATOR <br />C-14 , C (�jGG�7 �C Al Y;4, <br />REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br />[]GLOVES []GOGGLES []RESPIRATOR []HARD HAT <br />MAILING ADDRESS <br />❑TY-VEK []OTHER <br />/-1&/ <br />CITY;. STATE. ZIP <br />SPECIAL HANDLING PROCEDURES: <br />_ .. . . <br />• Zr v U157-14 <br />- PHONE. <br />11(\1 <br />T <br />1v37LI- <br />CONTACT PERSON <br />1s 14-L Moa <br />' <br />SIGNATURE OF AUTH�tIZED. AG / TITLE DATE <br />WASTIrT`06E _ _. _ _ :.. , w <br />RECEIVING FACILITY <br />❑ SLUDGE <br />❑ TREATMENT SOIL ❑ NON -FRIABLE ASBESTOS <br />FORWARD INC. LANDFILL <br />• DISPOSAL SOIL ❑ WOOD <br />9999 SOUTH AUSTIN ROAD <br />❑ CONSTRUCTION SOIL ❑ ASH <br />❑ OTHER <br />MANTECA, CALIFORNIA 95336 <br />(209) 982-4298 PHONE <br />GENERATING FACILITY <br />v I_,.- <br />(209) 982-1009 FAX <br />NAME.�._ti�Z_NOTES:. <br />A <br />__._. _ _.._._ ?SUCK NUMBER <br />ADDRESS <br />1 <br />T <br />• <br />K r r u.cli� <br />cg <br />PHONE' _ . _ . _ . .: _._ _. _� _ . -� ... _ � <br />. . <br />_ _END DUMP' .. ,.'_ ' _BOTTOM DUMP .._ .IMANSFER <br />SIGNATURE OF AUTHORIZED AGENrOR DRIVER <br />,= ROLL-0FF(S�) ',; FLAT=BED VAN DRUMS <br />FORWARD INC. LANDFILL <br />CUBIC YARD`-= <br />Forward shall have no obligation to accept the waste if weather or other <br />/ < <br />conditions impair the safe and effective disposal of the waste or if the waste <br />DISPOSAL METH <br />D: (TO BE COMPLETED <br />BY <br />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 the01SOIL <br />DISPOSE _. BIO AERATE <br />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 <br />conditions are expected to change such that Forward will be able to accept <br />the waste. <br />❑ SLUDGE <br />• REMARKS •— <br />._ - - - e _. _ .. -- <br />❑IVON-FRIABLE <br />FACILITY TICKET NUMBER <br />ASBESTOS <br />v.... ._ .. _ <br />❑ WOOD <br />- SIGNATURE OF AUTHORIZED AGENT : 1_ DATE. <br />❑ ASH <br />❑ OTHER <br />TO EXPECTED ARRIVAL + ANY UNSCHEDULED LOADS :RE <br />SCHEDULING MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR <br />SUBJECT TO REFUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST <br />BE SCHEDULED Wl7ri THE -NDFLL 'HE DAY BEFORE. <br />TO SCHEDULE .CALL (209) 982-4298 <br />MANIFEST # 3 Cv 0 6 <br />GENERATOR COPY <br />t <br />