Laserfiche WebLink
FORWARNON-HAi RDOUS WASTE MANIFEST <br /> vl INCORPORA T WASTE TF. f MENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. <br /> ,G NEP . : _�►..i,a�'" "? '': REQUIRED.PERSONAL PROTECTIVE EQUIPMENT <br /> SUL?THL�tvl� ❑GLOVES []GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> MAILIN ADDRESS �. .,.. _. ...� "� 'tri' ❑TY-VEK []OTHER <br /> U.1' p'a1�.I_ �'r-.l�tvl,i_H� 1r1 :f,��, SPECIAL HANDLING PROCEDURES: <br /> CITY''STAT.E�?ZIP a .tet• ..z. +i �'*. <br /> U <br /> 3 �+ _ <br /> • l gig" ,- .�..� ,t�.�,. <br /> .'T .ter, <br /> SIGNATURE;.0 RUTH I AGE /TITLE DATE` i <br /> RECEIVING FACILITY. <br /> �.... .. ... <br /> ❑ SLUDGE ' <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL ' <br /> • ❑ DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD. <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ OTHER <br /> • MANTECA, CALIFORNIA 95336 <br /> ME. MTJNG'FAGILITn ,1k r h 7 t a= � .7 (209) 982-4298 PHONE <br /> 1399 NORTH MAIN CA- ,NORTHGATE (209) 982- 1009 FAX <br /> MANT'ECA. CA . <br /> �d',�:;;i„,�?s .,, OTES.. . ,..,TRUCKeiNUMBE <br /> I ANL-A & SONS IRUCKIN INC L Q <br /> tt-s r:y °^ez Al./ / I <br /> r ESS' :� „E �y r...b �,.�.► ti,.a a � � u;�,.►A�.;��: .� ,.. <br /> .. - i”a..,..•dFsG'.m:..�a�'SditiSe,6u"'i"�s'axy':3..�1'[.`u <br /> 5896 ELDER CREEK ROAD ► <br /> :s; Ell <br /> :S ACRAN,IFNTO . CA 958 18 <br /> p:b ^, ; '�" N" `" i { ' ' }` END DUMP'. ry :; BOTTOM'DUMP' >' T NSFE l��{) <br /> u1,Ou. 11 •a4._Y�,ff .1GLSLW.+:�1�:�...._. _. 1.,. ,.... �`.�'MM1i) ...,.4.riri(,�-i <br /> ( 41 h ) 351-6'86`4 <br /> .. . ❑ <br /> S1G TUR�OF1AUTHORIZE„AGENT O'R DRIVER DATE r''} ROLL-OFF(S� ;,s FLAT-BEDS, VAN'L � �LfRU,MS'R <br /> ❑ ❑� ❑ ❑ <br /> FORWARD i1�C�ANDFILL �,CUBIC.YARDS. .15 <br /> 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 DISPOSAL METHOD: (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 AERATE STOCKPILEOTH,ER: <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 Y SOIL <br /> conditions are F,:pected to change such that Forward will be able to accept <br /> the waste. ❑ SLUDGE <br /> ...�r � �{123.HlJiYiY�- �. ....1+'i...._dMaLC:.� <br /> ❑ <br /> NON-FRIABLE <br /> FACIL�T ASBESTOS <br /> ,:eXTICK :NUMBER.:, <br /> ❑ WOOD <br /> ;SIG. TRE—OFAUTHORIZED-AGENT " DATES` ' <br /> .,...,.1 ._...-. - ..__.. ....._ _ ❑ ASH <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 /> TO SCHEDULE CALL (209) 982-4298 TRANSPORTER COPY MANIFEST 0 C r) n � <br /> x ,) 254 <br />