Laserfiche WebLink
r <br /> ORWARNON-HAZ; OUS WASTE MANIFEST <br /> I N C O R P O R A T E D WASTE TREMENT AND DISPOSAL. FACILITY <br /> JOB ACCEPTANCE NO. <br /> r Tyr.. }I M1 T <br /> - Y <br /> GENERATORS ' " = �,< f =Ms; �j _ _ „ <br /> l �_ _ ttom; � , ; REQUIRED PERSONAL PROTECTIVE EQUIPMENT`- <br /> ,�, wY� 1^� t LQl ,� �p� 1 �--ir t�-__ ❑GLOVES ❑GOGGLES [:]RESPIRATOR ❑HARD HAT <br /> MAILING AdD�t55� ;;°,' - � � z ❑TY VEK ❑OTHER 1 <br /> 9 _ . <br /> CITY`STATE ZIP' I •-' ` ` �`= -' SPECIAL HANDLING PROCEDURES <br /> ■ 1 ..--�i..;':25. "� I <br /> Sc. .� C.� SZbS k <br /> PHONE ` — ' ' r" ';�V. <br /> _.. '10163 <br /> I AGT�N <br /> y� <br /> - <br /> fG1% Ff OF,A ORIZED:AG TITLE <br /> }HASTE TYPE ' 1 x <br /> �..�.4�ry` � ,�,z.,�„���,.:.� x- ._„ �,'�w .... RECEIV{NG-FACIG�ITY.: <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • 19DISPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> tGENERAT[NG FACIIJITY° -� - �Y � t �-r -. µ° {209} 982-4298 PHONE <br /> �v�kt:n � e 5 tlrtoo�3o� t3"=.`Crc�c� _r ry <br /> Ate- ����► , cA {209} 982- 1009 FAX <br /> _ _ y <br /> TRUCK NUMBER- �„ OTES <br /> �l\.C. f r Cy y <br /> dRESS�, s F�� _ ,k u.. r r [.� 5 �7j'O f C CO <br /> � (.tav�t. Inc, vin 5 J� - <br /> • ,rte <br /> .nN bUP <br /> } '< ° EBOTTOM`DUMP_- '- <br /> _ <br /> A_---PRIZED AGENT_0EDRIVE {7A , , —0FF FLAT BIS NVAN <br /> SIGNATIJRE�f? _ _ * <br /> ZZ ON6 9 5? <br /> FORWARD INC. LANDFILL <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 <rDISPOSAL"METHOD (TO BE`COMPLETED BY FORWARD} <br /> impairs the safe and effective operation of the Landfill Forward shall use � K, F. ,., rf�s� = _ <br /> reasonable efforts to promptly notify Disposer of its inability to accept the gam. .* ;' �ESpOS)= BIO AEf�AT STOCKCPU " 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 /> ACIL'1`�;_.CKET3 UMBER:x � .x�y�r.�,_ �,�;�}.���r ❑ A58ESTOS <br /> ❑ WOOD <br /> QATE <br /> _ G� ❑ ASH <br /> � / ❑ 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 # 092832 <br /> GENERATOP O^ „ <br />