Laserfiche WebLink
NON-HAZARDOUS WASTE MANIFEST <br /> 067 <br /> WARD WASTE TREATMENT AND DISPOSAL FACILITY <br /> Mr. JOB ACCEPTANCE NO. 1641#-- IOU6 -1 <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> [:]GLOVES ❑GOGGLES [-]RESPIRATOR ❑HARD HAT <br /> MA <br /> ILING A DRESS, �_ 0� T-5,77 <br /> /_ ❑TY-VEK [:]OTHER <br /> YSTATf_-/ZIP " ' 1 <br /> (405� SPECIAL HANDLING PROCEDURES <br /> • lQG�'7.� Com. �� z��__ - - - <br /> - PHONE <br /> 213 / P <br /> CONTACT PERSON <br /> SIGNATURE OF AUTHORIZED AGENT /TITLE DATE <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LAN FILL <br /> • DISPOSAL SOIL ❑ WOOD `r <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTilOAD <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209)'982-4298 PHONE <br /> (209) 982- 1009 FAX-- <br /> NAM NOTES TRUCK NUMBER <br /> DRESS <br /> A IqZ�5-Y'6 _�E. / 2 - - ,- <br /> CI STATE P0 <br /> • PHO E END DUMP BOTTOM DUMP TRANSFER <br /> SIG�TURE OF AUT RIZED AGENT OR RIVER DATE _ ROLL-OFF{S) FLAT BED VAN DRUMS <br /> FORWARD INC. LANDFILL = CUBIC YARDSQ_ -- <br /> Forward shall have no obligation to accept the waste if weather or other �U <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 D1SP08E f310 AERATE STOCKPILE OTHER <br /> reasonable efforts to promptly notify Disposer of its inability to accept the _ _ <br /> waste for any reason If Forward's refusal to accept the waste is based on IL <br /> weather or other site conditions,Forward shall notify the Disposer when sd <br /> ' conditions are expected to change such that Forward will be able to accept <br /> the waste _ ❑ SLUDGE <br /> REMARKS _-- ---- -- =M - - - <br /> NON-FRIABLE <br /> ASBESTOS <br /> FACILI�TICI4ET�NClt BER _ j _ __7__-�� E] WOOD <br /> StGNA F AIUYHORIZED AGENT <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 ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> Y <br /> TO SCHEDULE CALL (209) 982-4298 MANIFEST # 6549 <br /> l-G11C�ITf'o AfI�V <br />