Laserfiche WebLink
' WARD NON-HAZARDOUS WASTE MANIFEST <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> INC. JOB ACCEPTANCE N0. <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> V:N DEN $ERCH FOODS,COMPAN"I ffGLOVES []GOGGLES ❑RESPIRATOR ffr4ARD HAT <br /> MAILING ADDRESS ❑TY-VEK ❑OTHER <br /> 1400 WATERLOO} ROAD <br /> CITY, STATE, ZIP SPECIAL HANDLING PROCEDURES <br /> STOC KTON,CALIFORNIA 9505 <br /> PHONE <br /> 209)46o-9580 <br /> CONTACT PERSON <br /> :"RAND YONES141GE <br /> SIG"TURE OF AUTHORIZED AGENT / TITLE DAT <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • ti' DISPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> 400 WATT~RLOO RO an STOCKTON, CALIFORNIA (2 0 9) 982- 1009 FAX <br /> NAME NOTES TRUCK NUMBER <br /> C aB-kLLERO TRUCKING <br /> ADDRESS <br /> 2530 BERRYESSA ROAD STE 527 <br /> . CITY, STATE,ZIP <br /> • S-kN JOSE,CA 95132 <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> (48), '29-0190 ❑ ❑ 0 <br /> SIGNATURE Q AUTHORIZED AGENT�qR DRIVER DATE ROLL.-OFFS) FLAT-BED VAN DRUMS _ <br /> I <br /> ❑ ❑ ❑ ❑ <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 />' ❑ <br /> SIGNATURE OF AUTHORIZED AGENT DATE wooD <br /> ❑ 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 SCHEDULE CALL (209982-4298 <br /> RARRI 98 ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> GENERATOR COPY MANIFEST # C 9034 <br />