Laserfiche WebLink
FORWARO w 1 NON-HAODOUS WASTE MANIFEST <br /> �4 INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. `a`-` `F��' <br /> GENERATOFT _ ,', wµ .h`_i� � J REQUIRED E? RSONAL`FROTECTIVE EQUIPMENT <br /> -7--)_ ❑GLOVES ❑GOGGLE`S ❑RESPIRATOR <br /> MAILING ADDRESS T '` y'`��xh ''v~ ❑TY-VEK ❑OTHER ❑HARD HAT <br /> L J _1 <br /> "CITY,STATE, ZIP '~ " _��` ,�- SPECIAL HANDLING PROCEDURES <br /> r �, � � <br /> PHONE��..:a <br /> ONTACT PERSON _� } - ` ,.'` ` <br /> hZr1 - <br /> SIGNATUREOF AUTHORlZE9 AGENT/_71TE_E��w?i; D�E, '���� <br /> ,ASTE4TYPE` ._azE - .4. �'.. =x4 RECEIVINPA CILff..Y��`� <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> ❑ DISPOSAL SOIL ❑ WOOD — <br /> ❑ CONSTRUCTION SOIL ❑ ASH a 9999 SOUTH AUSTIN ROAD <br /> ' 1 ❑ OTHER ' <br /> • -r-, MANTECA, CALIFORNIA 95336 I <br /> '"-GFAc`uTY (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> I e r7 <br /> 3VAM .rw NOTES <br /> 7Rl.lCINUMBER <br /> SS i.w: r z 'tY1 'r�, �T'y <br /> . CITY,STATE,_ZIP, <br /> PHONE -SOTTOM DUMP ,, , TRANSFER � <br /> SIGNATURE OF AU7HORlZED`AGE[ 7 OR DRIVER DATE,=. ,ROLL=OFF{S)r s; 'FEAT SED_-}- "VANS= - DRUMSry <br /> Lam' - ❑ r ..�-..El.-..- ❑,. <br /> FORWARD INC. LANDFILL �"B' ( <br /> Forward shall have no obligat:on 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 4 a POSE 'BIO AERATE STccKpILE ' 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 OIL <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste ❑ <br /> SLUDGE <br /> ❑ NON-FRIABLE <br /> FACILFT CK ET E�EUI�1BEFt i gES�OS <br /> ❑ WOOD <br /> h5! 7lJR F�AUTHORIZED AGENT _ r � DATE- ' <br /> ❑ ASH <br /> ❑ OTHER <br /> SCHEDULING #Q§j,8t MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REF=USAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> TO SCHEDULE CALL (209) 982-4298 <br /> SALES COPY MANIFEST # 68013 <br />