Laserfiche WebLink
F <br /> OWARK)t NON-HAZE_70US WASTE MANIFEST <br /> I N C O R P O R A T E D WASTE TREAENT AND DISPOSAL FACILITY <br /> JOB ACCBPTANC9 INLg q 3 - <br /> i <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> i ti ❑GLOVES <br /> []GOGGLES ❑RESPIRATOR El HARD HAT <br /> MAILING ADDRE S ❑ <br /> I �, TY-VEK []OTHER <br /> CITY, STATE, ZIP " " SPECIAL HANDLING PROCEDURES: <br /> PHONE <br /> CONTACT PERSON <br /> -- _ -4. <br /> . Q � ��. <br /> SIGNATURE F AUTHORIZED AGENT,/ TITLE DATE <br /> WASTE TYPE: ;DECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> 8 DISPOSAL SOIL ❑ wooD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> • <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> I <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> - . <br /> _ (209) 982- 1009 FAX <br /> �4 <br /> NAME .t _ _ w !w NOTES: w - TRUCK NUMBER <br /> AD RESS _ �. �- J P 7 4 <br /> ro,w .- A.Y . _s <br /> CITY,STATE,ZIPS <br /> w w.a <br /> . I . .... <br /> PHON END DUMP BOTTOM DUMP TRANSFER <br /> El <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE _ '_ ROLL❑OFF(S) FLAT BED --VA❑N <br /> .,..--• - - --.- �__.__._ DRUMS <br /> FORWARD INC. LANDFILL CUBIC YARDS .T _ <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 FORWARD) <br /> impairs the safe and effective operation-of the Landfill. Forward shall use 4 <br /> reasonable efforts to promptly notify Disposer of its inability to,accept the • DISPOSE BIO AERATE STOCKPILE OTHER <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 /> the waste. <br /> _ E] SLUDGE <br /> • REMARKS �... , .. . . n _ .. . I <br /> ❑ asB�s7asLE <br /> FACILITY TIG,! -NLMBER <br /> I <br /> ❑ WOOD <br /> LGNATU THORIZED AGENT _ DATE _ <br /> AUr, ] ASH <br /> A_ j <br /> 1,E] OTHER 1 <br /> SCHEDULING MUST BE MADE PRIOR TO 4:00 P.M. THE:DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TgREFUSAL JJPON ARRIVAL.ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> TO SCHEDULE CALL-(209) 982-4298 1-06300 <br /> - :3 I <br /> MANIFEST # j <br /> ecENERATOR COPY <br />