Laserfiche WebLink
y Y <br /> ORWA • •. NON-HADOUS WASTE MANIFEST <br /> V� N C O R P O R A T E O WASTE MENT AND DISPOSAL. FACILITY <br /> JOB ACCEPTANCE N0. <br /> GENERATOR 4. '_- r }+ t,-I <br /> i w•moy" a•s�r <br /> s_ h _ 3a u6 ,�.k� �F, b PE9S_PjNAL F.LOTECTNE EQUIPMENT <br /> .� �J�,f [:]GLOVES ❑GOGGLES ❑RESPIRATOf3 ❑HARD HE <br /> - ,. F �" ... ,_�si:�; �oC�_� � `_� ❑TY-VEK El OTHER <br /> ''�` -�-: SPECIAL HANDLING PROCEDURES <br /> _Ilud- itr ?dS—'l �das i�aer X`�r.s L +w •�:z a12y�+.:�s�` <br /> O PErSJON...'�1w' 7�=� � <br /> � '_ „Wr es <br /> SIt 1UTHOR ED AGENT,/,TITLE <br /> W,ASZE 7Y E�=js�. tiEGENING FACILIT <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� :r,�'o�lY�_ .e i+` `!�'1_ �'i.. +. •�+.�i� cj�;' �?� ^-,vtR N S' r..�.,�� :w' a� a� '�.-.` ' <br /> �i � '�7- �.�..w _ _ :1 �:,=�� �.�::�..s�,- �QT�S_'���.,,. �: ;��_.�.. ._�� TRUCK NUMBER'=� <br /> . <br /> END DUMP _s �- BOTTOM DUMP TRANSFER <br /> _SIGf?A I RE �_ F AUT_HORIZE6A2ENT_OR DRIVER DATE _ �+ RQ�L-❑OFF{S) �� FLAT-BED ^ VAIV .�_ DRUMS <br /> * - - r - : - - - ❑- ❑ - ❑ - --❑ <br /> FORWARD INC. LANDFILL CU9l2Ya�Ds� = -:;J��• ��-:;.��, r <br /> / �, ��_ ,K <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 FORWARC <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 /> ❑ NON-FRIABLE <br /> ASBESTOS <br /> FACILITY TICKET NUMBER - - M __ _ - - <br /> - ❑ WOOD <br /> SIGIV,4IURE QF AUTHORIZED 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 A <br /> SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFOI <br /> TO SCHEDULE CALL (209)982-4298 68007 O <br /> MANIFEST# <br /> SALES COPY <br />