Laserfiche WebLink
FORWARNNON-HAORDOUS WASTE MANIFEST <br /> INCORPORATED " � • WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO <br /> GENERATOR _ .,t "-; r REQUIRED PERSONAL PROTECT NE EQUIPMENT <br /> ❑GLOVES []GOGGLES EIRESPIRATOR ❑HARD HAT <br /> -1 ING ADDRESS ,`4 _ ' T []TY-VEK ❑OTHER <br /> y- ' SPECIAL HANDLING PROCEDURES <br /> CONTACT PERSON <br /> - - <br /> SIGNATURE OF AUT_HORIZEQ;AGENT %,TITLE F"M DATE '* <br /> << .. <br /> \k Y <br /> WASTE TYPES <br /> `-- r- -- —�� ,R x_-»�,a-,_,n.. .�.l..c� !•. 1Y.a,= ___.... ---t,5�3.'!•w,�. 3. �.- -.fir- 5. .e_ f' <br /> M ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS 1' FORWARD INC. LANDFILL <br /> • ❑ DISPOSAL SOIL ❑ WOOD <br /> 9999 SOUTH AUSTIN ROAD <br /> [--,�"C6iVSTRUGTION SOIL ❑ ASH <br /> - ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY � _ __ _s_,.: .� (209) 982-4298 PHONE <br /> 209 982- 1009 FAX <br /> `':'i'r i*«..r`"��.'�:�y'• i—;.v'„r��7r a�q� yr^�,- _'�'`iru�'�"r 'mak` ).� <br /> C.1 ..ill <br /> • CIl't(,STATE,ZIP <br /> V r - <br /> PHONE � END DUMP, BOTTOM DUMP , TRANSFER <br /> SIGI�lATURE OF AUTHORIZED AGENT O,KDRIVER'�` DATE, ." ROLL-OFF Sj YjFL4T-BEDTti;,��VAN DRUMS <br /> El El El El <br /> FORWARD INC; LANDFILL CU YARDSil , .'q <br /> L ' <br /> Forward shall have no obligation to accept the waste if weather or other l' <br /> conditions impair the safe and effective disposal of the waste or if the waste p[SPO AL METHOD (TB SE COMPLETED BY FORWARD} <br /> impairs the safe and effective operation of the Landfill Forward shall use - p t <br /> reasonable efforts to promptly notify Disposer of its inability to accept the - _ DISP l; - BIO' AERATE STOCKPILE OTHER <br /> waste for any reason If Forwards refusal to accept the waste is based on 'SO IL <br /> weather or other site conditions Forward shall notify the Disposer when site J <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste ❑ SLUDGE <br /> • „ER„EMARKS_ '. =�-= - �:-' <br /> T y 3 .' a, NON-FRIABLE <br /> FAC IJTY TICKET Ij9BB R �� -Y a'' _ r" '~` ❑ ASBESTOS <br /> r.-., S. ❑ <br /> WOOD <br /> SffAJRE OF U7 �-AGENT� w,k„ Y 4 DATE' <br /> ❑ ASH <br /> a ❑ 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 /> TO SCHEDULE CALL (209) 982-4298 <br /> MANIFEST# 68014 <br /> SALES COPY <br />