Laserfiche WebLink
' �� � NON-HAZARDOUS WASTE MANIFEST <br /> 1-1 WASTE TREATMENT AND DISPOSAL FACILITY <br /> INC. JOB ACCEPTANCE N0. <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> `+ MIT DEN BERGH FOODS,COMPANY [LOVES [:]GOGGLES ❑RESPIRATOR UTARD HAT <br /> MAILING ADDRESS ❑TY-VEK [:]OTHER <br /> -100 WATERLOO ROAD <br /> CITY,STATE, ZIP SPECIAL HANDLING PROCEDURES <br /> • STOCKTONT,CALIFORNIA 95243 <br /> PHONE <br /> I_Ool�oo-O5R0 <br /> CONTACT PERSON <br /> FRAINK YONESHIGE <br /> 51GNA�U�t OF AUTH RIZED AGENT / TITLE DATE <br /> YM� �&A� <br /> .. d <br /> 5k <br /> WASTE TYPE f RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL 0 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 /> �100WATCRL00 ROAD STOCKTON CALIFORNIA (209) 982- 1009 FAX <br /> MkLLFRO TRUCKING NOTES TRUCK SPMERRYESSA <br /> L <br /> -• CR357- <br /> MS T�'Ca95132 <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> 408, 29-0196 ❑ ❑ <br /> SIGNATURE QF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DROMS - <br /> 7 ❑ ❑ ❑ ❑ <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 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 STOCKPILE OTHER <br /> waste for any reason If Forwards 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 ❑ SLUDGE <br /> REMARKS <br /> ❑ NON-FRIABLE <br /> FACILITY TICKET NUMBER ASBESTOS <br /> ❑ wooD <br /> SIGNATURE OF AUTHORIZED AGENT DATE <br /> ❑ ASH <br /> ❑ OTHER <br /> Ll <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(249)982-4298 9031 <br /> O 3 1 <br /> GENERATOR COPY MANIFEST # C J <br />