Laserfiche WebLink
FORWAPAPNON-HAORDOUSy WASTE MANIFEST <br /> INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE N0. � �� <br /> GENERATOR r ` _ _;i t" ;� '\ REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> []GLOVES GOGGLES []RESPIRATOR ❑HARD h <br /> MAILING ADDRESS <br /> CITY-VEK ❑OTHER <br /> SPECIAL HANDLING PROCEDURES <br /> . •_- -rte. _ . ._`...._. �.7..—�._...a-\tet. ta��:..#,rtl�i <br /> ,�JON! <br /> y....ti�.a........---.�..��en-. <br /> SIGNATURE OF AUTHORIZED;AGENT %TIfL-6 1i DATE��a <br /> WASTETYPE�z� ..�•_:.• -: --. 5Z yi^ h'ti .. - <br /> RECEIVING FACILJTY ,-V: <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • ❑ DISPOSAL SOIL Ej WOOD T <br /> ❑ CONSTRUCTION SOIL El ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> -- - -- _ _ _ _ <br /> (209) 982- 1009 FAX <br /> ,NOTES.- �Sna �?�.ss � .TRUC NUMBER <br /> Y r <br /> /3�� <br /> � <br /> s ��ti �c;°�i_��. <br /> PHONE END DUMP, BOTTOM DUMP TRANSFER <br /> � s - -- —❑�.-- ��r------ -❑ — <br /> -SIGNATURE�OFnAUTHORIZED AGENT OR DRIVER'; DATE 'S 2 RO F(5� FLAT SED=� "-%VAN�r~, DRUMS <br /> El <br /> FORWARD INC. LANDFILL CUBIC) 2� ? � �> ^Yyf�,fY ► r <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 FORWAR <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 ��w DISPOSE tiBIO AERATE STOCKPILE OTHEF <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 /> • R�MARKS._..w�7`�GrY-, _'_ 4; <br /> z"� ' '`� <br /> �` ❑ NON-FRIABLE <br /> fACILiTY ICKET NUMBER = �>`z^ t ASBESTOS <br /> WOOD <br /> �SIGN�A�TU E OF AUTF ORIZEb �M� �;���� ,� DATE,��` <br /> n w 'ASH <br /> ❑ OTHER y <br /> igrSCHEDUL G MUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPEC'T'ED ARRIVAL • ANY UNSCHEDULED LOADS j <br /> SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFO <br /> TO SCHEDULE CALL(209) 982-4298 ` , - <br /> MANIFEST # 6 8 O 1 C <br /> SALES COPY � <br />