Laserfiche WebLink
I �{� FORWARD a NON—HAZARDOUS WASTE MANIFEST <br /> I NC OR P_J RATED WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. <br /> ,GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> I []GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> MAILING ADDRESS ❑TY—VEK [—]OTHER <br /> CITY,STATE 71P SPECIAL HANDLING PROCEDURES <br /> PHONE <br /> ICCQN:MCT PERSON' ; <br /> SIGMkITURC,OF A,UTHORIZED AGENT i TITLE ; 1DATE <br /> WASTE TYPE, „ RECEIVING FACILITY ; <br /> I ❑ SLUDGE <br /> • ❑ TREATMENT SOIL ❑ NON—FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • ❑, DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> •• ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> G>=NERATENGFACIUTY* (209) 982-4298 PHONE <br /> S (209) 982- 1009 FAX <br /> NAME , TRACTOR LIC'# TRUCK NUMBER' <br /> x <br /> I ADDRESS',1, TRAILER LIC # <br /> F <br /> . Crry,,STATE,;zIP TRAILER LIC # r <br /> pF—IC7N' [ I EN©DUMP BOTTOM DUMP TRANSFER ,, <br /> SI NATURE OrA�Qf�IZWAGENT OR DRIVER DATE ROLL-C FF(S) FLAT BECI VAN' `M DRUMS,' <br /> ❑ ❑ ❑ ❑ <br /> s <br />' CUBIG YARDS' 4 bl <br /> FORWARD INC. LANDFILL <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 DISPOSA4. METHc�D '/ (TO BE � OMPLETED BY FORWARD)=: <br />' impairs the safe and effective operation of the Landfill Forward shall use : 1 It _ _ �'= i '_ = 1+ <br /> reasonable efforts to promptly notify Disposer of its inability to accept the DISPOSE {©- AERATE bT�iC PILE C)THE„.RI <br /> waste for any reason If Forwards refusal to accept the waste is based on ❑ 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 />' <br /> the <br /> {waste � ❑ SLUDGE <br /> 1 y� MK2S" 1 ; 11 t t I ! I i ! 1 <br /> NON-FRIABLE <br /> _ ,,, ❑' 'YA ILITYITICKEVNUMBERASBESTOS 41 � :I ;a,� 1, ',i I ,` � <br /> ❑ WOOD <br /> IGNA,T,UJR, 0"t#THOR12tD AGENT'' �' `� ;I; I' NATE I <br /> - ' ,,f ❑ ASH <br /> * 1 ' <br /> ❑ 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 /> TOtS95HEDU9 E CALL (209)982-4298 MANIFEST # C f I <br /> SALES COPY a <br />