Laserfiche WebLink
(*4t <br /> � 1VKWA.KD NON-HAZARDOUS WASTE MANIFEST <br /> I N C O R P O R A T E D WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE N0. —' <br /> C3EfVRAQR ? Y�l ^,� ,+ 54 }; r,r�s :�`suv •,°._;:` �x ,a REQLJIREi `PERSONi4L P•,RQ7ECTNE EQl11PME_NT <br /> [}E f3 0 R FAMILY T R U S T []GLOVES E❑GOGGLES E]RESPIRATOR ❑HARD HAT <br /> ti *.r :.t,•P ,��t ,�::_-a. E t. a*,wr;' x ❑TY-VEK ❑OTHER <br /> P. O . BOX 635 <br /> ,ITYTE„7J ;au��t SPECIAL HANDLING PROCEDURES: <br /> • RIPON CA 95366 <br /> - PF�C3NE�"1'$ z�ws�� <br /> CO Arm E19�01 �' .��;,�; „�,_ n•��-- � �� ;�y� ,, <br /> G Ir R R I T � �Y �� ,��•��ti�, ;E a I,z�� . t �����. <br /> VAN�iETT <br /> iGIVATLiROF, f1'fiiQRIZED AGENTTfTLI= DATE � ` r ' <br /> n Yf'E u°�•2 Y#,,# .[ u ` , ai?art'” Y{ e"�x^' "t'.1 <br /> _ , .r.. , RECEIVlN Y f,u` fi r �, rye orf <br /> ... ,. <,... .. �„ <br /> SLUDGE❑ TREATMENT 501E ❑ <br /> • F] DISPOSAL SOIL ElNON-FRIABLEASBESTOS FORWARD INC. LANDFILL <br /> ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD- <br /> 0 OTHER <br /> MANTECA, CALIFORNIA 95336 <br /> GENERATlNGFACILITY (209) 982-4298 PHONE <br /> 210 W . 5TH ST. <br /> R@PON , CA (209) 982- 1009 FAX <br /> NAME; h <br /> NOTES. TRUCK NC7MBER <br /> RICAE7DFRESSH _HA11LTtJ d IRUCKIP�G / C_ � <br /> is x� x t '� _ •t , 1 + <br /> t [ { <br /> • 1_336' AVE .PAULINE LOAD #5 <br /> • CITY,STATE.ZIP �} 4E�"R-Y l.»., i :r. A i <br /> Mon1= Ta , CA 95358VZ � C <br /> PHONE= r t at `; ;„ r .' END DUMP BOTTOM DUMPTRAEVSFER <br /> 21jy 5783 41Q0 _ ,} X ❑ <br /> SIGIVATURl=;OF AIJTHOR,lD A [VT ORDRIVER ;s .DATE ROLL-OFF(S)„ FLATDRUIVIS;.. <br /> ` ❑ ❑_ _ ., <br /> FORWARD INC. LANDFILL cUlc RDs '' <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 <br /> impairs the safe and effective operation of the Landfill. Forward shall use DISPOSAL METHOD:,aV' (TO BE COMPLETED BY FORWARD) <br /> reasonable efforts to promptly notify Disposer of its inability to accept the :. DISPOSE 1310''; AERATE STOCKPILE ' OT.HER <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 SOIL <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste <br /> F�EMItif3KS 're ' � nes-� ❑ SLUDGE <br /> rc � ❑ NON-FRIABLE <br /> FAC1L6Y s ..a syn n r ASBESTOS <br /> El WOOD <br /> - ;SEG RE` RU dORIZED ENC,.. � s . �. DATE <br /> / ❑ ASH <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. GOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> TO SCHEDULE CALL (209)982-4298 <br /> GENERATOR COPY MANIFEST # C 23562 <br />