Laserfiche WebLink
' I <br /> �_ NON-HAZARDOUS WASTE MANIFEST A4. <br /> IVWARD. <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE N0. <br /> GENERATOR F �;;. x .� J �„ = � REQt71RED PEN5C]NAL'PRQTECTIVE°ECQUIPMEN7 <br /> 0�Q jl� �/1/ [:]GLOVES ❑GOGGLES <br /> -]RESPIRATOR ❑HARD HAT <br /> MdILING ADD R S;/3 ,}Fes ; `' !•a� M ❑TY VE<K ❑OTHER <br /> CITY:57ATE ZI `/�` ///J �]j/ SPECIAL HANDLING PROCEDURES: <br /> E� CONTACT,PERSOI�_ , :� =_ * °�" � ►. V(,r CoD C <br /> SIGNATURE OIC AEJTHORIZED AGEN %-Ti1tE DATE ' f <br /> c. <br /> �r WASTE-TYPE 4` •' ; ,r. ;" sF'} . . . RECEIVING <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC..LANDFILL <br /> ❑ DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN-ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> T OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FAGuL y, - w F _ (209) 982-4.298 PHONE <br /> (209) 982- 1009 FAX <br /> NAME ; , k "NCttES �� �t-,:--k �" `` ' UCK'N_ UMBER;":,.. <br /> :z: <br /> c , ._ __. aT ... _ <br /> • Cllr`;STA�fE,ZIP l� � 'K.7Ar <br /> r PHONE (� % Z Z� END.DUMP . _B2TTOM:DUMP <br /> ! _ ❑ ❑ �.Y <br /> .y�rv�-....-..may-...«Y -. ..r_x-,y.�.- <br /> SIGNATURE UTHOAGENT OR DRIVER DATE', ROLL=OFFS}.; M s FLAT-BED VAN;; twDFi NQS <br /> El <br /> FORWARD INC. LANDFILL C;uic�YARDs , _ �,,'t .� * " tn , .., <br /> Y; / <br /> � ,�.. <br /> Forward shall have no obligation to accept the waste if weather or other <br /> conditions impair the safe and effective disposat of the waste or if the waste <br /> impairs ,f 5 <br /> impairs the safe and effective operation of the Landfill. Forward shall use pI (TOB COMPLETED BY'FC)RWARD),f <br /> A reasonable efforts to promptly notify Disposer of its inability to accept the °:; 'r = DISSP08 :AERATE S OCKpILI pTHEj ;^Y <br /> waste for any reason. If Forward's refusal to accept the waste is based on 1 <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 <br /> ,REfVRK a: s, "/Ql,�j��' ?p - �� ,,r� El SLUDGE <br /> ❑ NON-FRIABLE <br /> ICILIT''• CKET_Nl1BR "( '� <br /> _ 7 <br /> ASBESTOS <br /> .� Q WOOD . <br /> 51GNATURE:O IORIZED GE w„ pq <br /> / ❑ ASH <br /> r' :�z. - ' c7'/ -J j ❑ OTHER <br /> rCltf l.)Fll_Irdt; MUST EtF MA[llw f'RfC)R TO 4:00 P.M. THE DAY r-r ion TO EXPECTED ARRIVAL + ANY UNSCHEDULED LOADS ARE <br /> to PFrUSAL 017-Or-4 ARRIVAL,ONG01WI,DAILY VELIVEnIFS MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> TO SCIIFOULE GALL (209) 982-4298 <br /> MANIFEST # 6649 <br /> TRANSPORTER COPY <br />