Laserfiche WebLink
,y .``�QR �' O ,� 4NON-HA�DOUS WASTE MANIFEST <br /> Va I N C O R P O R A T E D WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. <br /> GENERATOR �,'.,z � ; ,:' REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> �; wry _- Y ❑GLOVES []GOGGLES []RESPIRATOR []HARD HA <br /> MAILING ADDRESS _ �� u �r�_ ❑TY-VEK ❑OTHER <br /> CITY,STA`I E IP `J�- y'"""` _ SPECIAL HANDLING PROCEDURES <br /> PA <br /> SIGNATURE OF AUTHORIZED 4bEfd7'/ T1TLE 4 N DATE''i_} <br /> �-,�.•��. >.,. , , <br /> ECEIVWG LACILITY <br /> - •- <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 /> a v t ri _'- rr!/�r/(_-S 1 <br /> -- - (209) 982- 10j 09 FAX <br /> 'aL&K�NUMBER <br /> ADDRE f;^rr r <br /> SS <br /> CITY,STAfiE,`ZIPP ONE <br /> _END DUMP__^ BOTTOM DUMP TRANSFER <br /> SLgy.- -URE O�AUT ED AGENT OR DRIVER DATE LI � _ ;� -p F{S}-�'�`:�' <br /> FLAT .D iUMS <br /> - f- --❑ _ <� 'R <br /> RUMS <br /> INC. LANDFILL cuBIG� g_ RDS � -+ v - , 1tt - <br /> Forward shall have no obligation to accept the waste if weather or other <br /> conditions impair the safe and effective disposal of the wase or if the waste / <br /> SAL METHOD (TO BE COMPLETED SY_FORWARC <br /> impairs the safe and effective operation of the Landfill Forward shall use DISP f T <br /> reasonable efforts to promptly notify Disposer of its inability to accept the DISPOSE SIO 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 /> -=ACT�Y T]CKI=1 NUMBER"_Y z ASBESTOS <br /> - -_ - _ ❑ WOOD <br /> Sy�O�FNUT <br /> D —E I FZ <br /> ❑ ASH <br /> ��j'��. ❑ OTHER <br /> SCHEDULING MUST`BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL ANY UIVSCi-IEDULEp LOADS A <br /> SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFOF <br /> TO SCHEDULE CALL (209) 982-4298 73178 <br /> MANIFEST <br /> SALES COPY ` <br /> - — r <br />