Laserfiche WebLink
MO.,- <br /> NON-HAZARDOUS 1NASTE MANIFEST <br />! RWARD WASTE TREATMENT AN <br /> -> �� � � .4-' Y D,DISPOSAL FACILITY <br /> INCV JOB ACCEPTANCE N0. <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT';=-. <br /> *4 3 0-A/2 k ❑GLOVES ❑GOGGLES ❑RESPIRATOR <br /> MAILING ADDRESS 'Y ❑TY-VEK []OTHER ❑HARD HAT <br /> CITY,STATE,F4 SPECIAL HANDLING PROCEDURES: <br /> cam- <br /> PHONE v <br /> CONTACT PERSON <br /> SIG NATUR O AU ORIZED AGENT/T_ <br /> VAI,, <br /> TLE DATE <br /> + WASTE TYPE <br /> RECEIVING E FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> ❑ DISPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> NAME NOTES: TRUCK NUMBER <br /> ADDRESS [� ,"4 Z r <br /> CITY,STATE, ZIP <br /> PHONE END DUW BOTTOM'DUMP TRANSFER <br /> ❑ ❑ <br /> SIGNATURE OF AUTHO91ZED AGENT OR DRIVER DATE ROLL-OFFS} FLAT-BED VAN DRUMS <br /> FORWARD INC. LANDFILL CUBIC.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 — A� <br /> DI POSAL METHOD:;-,. (TO BE COMP D BY FORWARD} <br /> impairs the sate and effective operation oftthe Landfill, Forward shall use <br /> reasonable efforts to promptly notify Disposer of its inability to accept the DISPOSE BIO AERATE STOCKPILE '.OTHER <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 acce <br /> ` the waste. El SLUDGE <br /> REMARKS . <br /> ` ❑ NON-FRIABLE. <br /> FACILIT CKET N ER >°> ASBESTOS <br /> ❑ WOOD <br /> SIGN E O HORI D AG T;' DATE <br /> �L ) ,-•7 � ❑ ASH <br /> ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4:00 P.NK THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL UPON ARRIVAL ONGOJNdDAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. { <br /> TO SCHEDULE CALL(209)982-4298 4 9 612 <br /> GENERATOR COPY MANIFEST # <br />