ARCHIVED REPORTS_XR0003098 - Laserfiche WebLink

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ORWARD- � NON-HAZARDOUS WASTE MANIFEST WASTE TREATMENT AND DISPOSAL FACILITY ^INC. JOB ACCEPTANCE NO. S VA 0 E ERATOR h _ REQUIRED PERSONAL PROTECTIVE EQUIPMENT _ i"` I-i ❑GLOVES E]GOGGLES []RESPIRATOR [3 HARD HAT MAIUNG ADDRESS _ ❑TY-VEIL [-]OTHER CITY,STA i_TE,ZJP SPECIAL HANDLING PROCEDURES _ PHONE cbN=f PERSON ---' -_ - L rJ LES US0 SIGNATURE OF AUTHORIZED AG& T/TITLE DATE _ Ic lr� 3 %rE- TYPE .- M� -� _. �: t ggCEMN@ FACILITY, ❑ SLUDGE ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL �] DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD ❑ CONSTRUCTION SOIL ❑ ASH ❑ OTHER MANTECA, CALIFORNIA 95336 GENERATINGFACILfTY- -- _ _ _-_w:� __= (209) 982-4298 PHONE fL: =r� ` --'�• '' (209) 982- 1009 FAX � 'TFIUCKNUMBER _ DRESS �� 71Gif� - 7 v� y i3 J T ❑ ❑— ❑ — SIG ►GENTT?RDRiVER DATE FORWARD INC. LANDFILL Forward shall have no obl-rgation to accept the waste if weather or other I conditions impair the safe and effective disposal of the waste or rf the waste DISPOSAL--ME I{OD's'°pQ BE COMPLETED BY FORVYARD) I impairs the safe and effective operation of the Landfill R Forward shall use -� reasonable efforts to promptly nobly Disposer of its inability to accept the DISPO SE BiQ� AERATE STOC_ 1ClR_; waste for any reason If Forward s refusal to accept the waste is based on weather or other site conditions,Forward shall nobly the Disposer when site conditions are expected to change such that Forward will be able to accept i the waste ❑ SLUDGE - - NON-FRIABLE — �. �.-- ❑ ASBESTOS FACILITY TICKET NUMBER---- - - t� __= � ❑ WOOD SIGNATURE OF AUTHORIZED AGENT `� -_ DATE_ _ - - - - - - - ❑ ASH r _ ' 4- `❑ OTHER I SCHEDULING MUST BE MADE PRIOR TO 4 OQ P.M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE UBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE SCHEDULE CALL(249)982-4298 MANIFEST # 14396 SALES COPY - - -