Laserfiche WebLink
ARD <br /> NON-HAZARDOUS WASTE MANIFEST'`.:.-i. <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> INE. JOB ACCEPTANCE NO. ' <br /> GENERATO � . _ �PROTECTWEQUIPMEN7aERSOVL <br /> p7c) ❑GLOVES ❑GOGGLES []RESPIRATOR ❑HARD HAT <br /> MAILING ADDRESS , ;,; �. �" a�' � ❑TY-VEK ❑OTHER <br /> CITY,STATE, ZIP _ z. :` SPECIAL HANDLING PROCEDURES: <br /> ji- s L s sr C <br /> PHONE . <br /> CQIVTACT PRSOIV ,, <br /> ' SIGNATURE OF AfJ_'ORIZ D'AIGEN '71TL "'' DATE:<°:.x,:71 71_7 <br /> f WASTE.TYPE �- '-� <br /> 31 _ <br /> RECEIVING_FACILITY <br /> SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD.INC. LANDFILL <br /> ' ❑ DISPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ;A <br /> OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY w•-F (209) 982-4298 PHONE <br /> (209)982- 1009 FAX <br /> NAME N�� ,� ..�= .�. �'���-v� , �FiUCI<.NUMBI Rte,,, <br /> ADDRESS: r <br /> CITY STATE;ZITPLJe, <br /> � j% <br /> `� G-{� *-"` `•f END DUMP {, BOl`TOM pEJMP{ V�qF3AN F R <br /> ❑ x.�,❑_ _ <br /> SIGNATURE OF AU TH RIZED AGE DRIVER BATE ROLt�OFF(S).' , '.FtAT BEb -t VANk 1M ' ` • <br /> FORWARD INC. LANDFILL cI.IBIC-YARDS <br /> Forward shall have noobligation to accept the waste if weather or other /(p <br /> conditions impair the safe and effective disposal of the waste or if the waste , <br /> °DISPOSAL <br /> i METHOD; T <br /> impairs the sate and effective {�$E CDMPL!_TED;$Y� <br /> p ectve operation of the Landfill. Forward shall use ,,. w r-•, � p _� ,,,F., r .:�Q�iWAFiD):.. <br /> e: r, w <br /> �- <br /> R reasonable efforts to promptly notify Disposer of its inability to accept the D15F°OS r-LBICI3s .AERATEItPItE <br /> waste for any reason. If Forward's 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 /> he waste <br /> t s e. <br /> REMARKS'-}' /�/ ,I�j _ ❑ SLUDGE <br /> / ❑ NON-FRIABLE <br /> :FACiL1T1(TICKET NUMBER" ASBESTOS <br /> '_ : <br /> _.... ❑ WOOD <br /> sIGNAn3 oTNoIEorFvDATE - r' <br /> ASH <br /> ❑ OTHER <br /> c f-I IFfJlJI_IhJG "UST BE MADE PRIOfi TO A:00 I'.M- THE DAY VVII011 TO EXI EC_W LABRVAL A ANY UNSCHEDULED LOADS ARE <br /> S!ipJFCT lORE FI)SAL OPON ARRIVAL_OrIGOINQ,DAILY DELIVERIES MUST BE SCHEDULED WITH T14E LANDFILL THE DAY BEFORE. <br /> TO SCIIEWLE CALL 1209) 982-4296 — 6 <br /> MANIFEST# <br /> 'rnA1JSPURTFA COPY <br />