ARCHIVED REPORTS_XR0010842 - Laserfiche WebLink

Home Browse Search

FORWARD NON-HAZARDOUS WASTE MANIFEST WASTE TREATMENT AND DISPOSAL FACILITY INC. JOB ACCEPTANCE NO. GENERATOR REQUIRED PERSONAL PROTECTIVEEQUIPMENT ❑GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD HA MAILING ADDRESS, ❑TY-VEK ❑OTHER CfTY,STATE, ZIP SPECIAL HANDLING PROCEDURES: - PHONE I�l �r. • zoo'-- -�"�,1' CONTACT PEKON I✓�h T"" SIGNATURE OF AUTHORIZED AGENT TITLE HATE x. WASTE-TYPE : RECEIVING FACILITY ❑ SLUDGE • ❑ TREATMENT SOIL E] NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL • ❑ DISPOSAL SOIL ❑ WQOD ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD •• ❑ OTHER MANTECA, CALIFORNIA 95336 GENERATING FACILITY (209) 982-4298 PHONE (209) 982- 1009 FAX NAME NOTES: TRUCK.NUMBER ADDRESS �`t '!�ft r . . CITY, STATE, ZIP PHONE END DUMP BOTTOM DUMP TRANSFER ?moi- -s��--4�� R ❑ ❑ SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT BED . .VAN: DRUMS El FORWARD INC. LANDFILL cuBic.YARDs, l Forward shall have no obligation to accept the waste if weather or other r Y� conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL METHOD; (TO BE COMPLETED.BY FORWARD) impairs the safe and effective operation of the Landfill. Forward shall use reasonable efforts to promptly notify Disposer of its inability to accept the T DISPOSE BIO AERATEsrocichltf OTHER waste for any reason. If Forward's refusal to accept the waste is based on rr-ff SOIL weather or other site conditions, Forward shall notify the Disposer when site LJ, • conditions are expected to change such that Forward will he able to accept" the waste. ❑ SLUDGE REMARKS • ❑ NON-FRIABLE ASBESTOS FACILITY TICKET NUMBER ❑ WOOD SIGN/,4TGRE� i-IORIZED :GENT D7, [I ASH G - / �2 . ❑ OTHER SCHEDULING MUST BE MADE PRI TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE TO SCHEDULE CALL(209)982-4298 MANIFEST # 49609 GENERATOR COPY