Laserfiche WebLink
NON-HAZA..JOUS WASTE MANIFEST <br />FWWARDWASTE TREATMENT AND DISPOSAL FACILITY <br />INC. JOB ACCEPTANCE NO. o <br />GENEr <br />REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br />❑ GLOVES [:]GOGGLES ❑ RESPIRATOR [:]HARD HAT <br />MAILINP ADO ESS❑TY-VEK <br />[:]OTHER <br />SPECIAL HANDLING PROCEDURES: <br />• CITY, ST4TE, ZIP <br />PHONE <br />71 <br />CONTACT PERSON <br />AGENT! TITLE DATE <br />SIGNATURE OF AUTNOIFMED <br />� <br />WASTE --TYPO <br />RECEMNG FACILITY t <br />_ <br />3 <br />• <br />❑ SLUDGE <br />FORWARD INC. LANDFILL <br />❑ TREATMENT SOIL <br />❑ NON -FRIABLE ASBESTOS <br />• aDISPOSAL SOIL <br />❑ WOOD <br />9999 SOUTH AUSTIN ROAD <br />❑ CONSTRUCTION SOIL <br />❑ ASH <br />•• <br />❑ OTHER <br />MANTECA, CALIFORNIA 95336 <br />(209) 982-4298 PHONE <br />GENERATINGFACILITY <br />(209) 982-1009 FAX <br />NAME :_.. <br />NOTES TRUCK NUMBER <br />ADDRESS <br />• 120 - <br />• CITY, STATE, ZIP <br />/- <br />�pO/� <br />END DUMP. BOTTOM DUMP TRANSFER <br />- <br />PHONE - - <br />33y Qoo / <br />❑ ❑ <br />SIGNATURE OF AUTHORIZED AGENT_ OR DRIVER DATE <br />ROLL-OFF(S) _ FLAT-BED . VAN DRUMS <br />FORWARD INC. LANDFILL <br />CUBIC YARDS : ,._. - T • , J - <br />/ <br />Forward shall have no obligation to accept the waste if weather or other <br />DISPOSAL METHOD: (TO BE COMPLETED BY FORWARD) <br />conditions impair the safe and effective disposal of the waste or if the waste <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 <br />-__._ DISPOSE BIO AERATE OTHER <br />waste for any reason. If Forward's refusal to accept the waste is based on <br />7*11 <br />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 <br />❑ SLUDGE <br />waste. <br />NON -FRIABLE <br />❑ <br />REMARKS <br />ASBESTOS <br />FACILITY TICKET NUMBER <br />-_ <br />C] WOOD <br />- SIGNAk URE OF AUTHORIZED AGENT DATE <br />❑ASH <br />* `-� "�- ? V��� <br />❑ OTHER <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 />TO EXPECTED ARRIVAL i ANY UNSCHEDULED LOADS ARE <br />BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br />TO SCHEDULE CALL, 209) 982-4298 <br />MANIFEST # 3 �; 'rI Q <br />GENERATOR COPY <br />