Laserfiche WebLink
FORWARD - _= NON-HAZARDOUS WASTE MANIFEST <br /> ' 4r INCORPORATED � WASTETREATM <br /> � ENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NQS, 745711 - <br /> ENERATOR � � <br /> �'' REOUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> �P pamlc= fc]GLOVES ❑GOGGLES [-]RESPIRATOR &HARD HAT <br /> ' MAILING ADDRESS ❑TY-VEK [DOTHER <br /> 2191 A4n;v Diva <br /> CITY,STATE,ZIP _ SPECIAL HANDLING PROCEDURES <br /> �s` �CA 952r,� <br /> ' - <br /> P"/ <br /> / 7 /o O C� <br /> CONTAC PERSOIN' C- <br /> SIGNATURE,,QF AUTHOft1�5FD AG T /TITLE DATE <br /> Lz <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> E] DISPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ STOCKPILE El OTHER <br /> MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> ME <br /> Lzmrw T^.ts.i,z--g �j�f TRACTOR LIC # � TRUCK NUMBER <br /> �'�.� w <br /> ADDRESS <- TRAILER LIC 4 <br /> �- <br /> • CITY,STATE,ZIP TRAILER LIC # <br /> B :l.31.s <br /> PHONE � <br /> EI fiP BOTTOM DUMP TRANSFER <br /> �925'1 04-02:74 <br /> SIGNATURE OF AUTHO IZED AGENT OR DRIVER DATE <br /> r-NDDU <br /> LL-OFFS) FLAT-BED VAN DRUMS <br /> E3 El <br /> I i <br /> FORWARD INC. LANDFILL ICUPIC YARDS <br /> Forward shall have no obligation to accept ,he waste if weather or other , r <br /> conditions impair the safe and effective disposal of the waste or if the waste <br /> impairs the safe and effective operation of the Landfill Forward shall use DISPOSAL METHOD (TO BE COMPLETED BY FORWARD) <br /> reasonable efforts to promptly notify Disposer of jos inability to accept the DISPOSE BIO AERATE STOCKPILE OTHER <br /> waste for any reason It 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 <br /> RE1 ARKS _ ❑ SLUDGE <br /> ❑ NON-FINABLE <br /> FACILITY 71C ,1UMBER _ ASBESTOS <br /> N '�r� - _ .�.^ . _=+,_ - ❑ WOOD <br /> SI <br /> G ATLdRE/JFjlAU ZED AG U&E7 <br /> EE] 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 DEUVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> SCHEDULE CALL (209) 982-4298 <br /> 11CPSIINH)6 96 <br /> GENERATOR COPY MANIFEST# C 688973 <br />