Laserfiche WebLink
FORWARD NON-HAZARDOUS WASTE MANIFEST <br /> 1 N C O R P O R A TED '' WASTE TREATMENT AND DISPOSAL FACILITY <br /> " r JOB ACCEPTANCE N0. _74571f . ` <br /> -s <br /> NERATOR "` REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> ---?Fes' GLOVES ❑GOGGLES [:)RESPIRATOR HARD HAT <br /> MAILING ADDRESS ❑TY-VEK ❑OTHER <br /> ldn9i Drive <br /> CITY,STATE ZIP SPECIAL HANDLING PROCEDURES <br /> • St:odar�,C4��2t16 <br /> PHONE— <br /> . <br /> CONTACT PERPON <br /> S1GN�TUPE OF AUTHORIZED 9GENT/ TITLE DATE <br /> WASTE TYPE 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 /> ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> E TRACTOR LIC G TRUCK NUMBER <br /> 3_7J; <br /> i <br /> ADDRESS TRAILER LIC r <br /> "-y.Y 5i <br /> CITY,STATE, ZIP TRAILER LIC # f <br /> PHONE ENDPUMP BOTTOM DUMP TRANSFER <br /> "'-1 5 r -i /D ❑ ❑ <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE <br /> ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> 0 E3 13 <br /> 14 <br /> FORWARD INC. LANDFILL CUBIC YARD y' <br /> Fory and shall have no obligation to accept ,he waste if weather or other u <br /> conditions impair the safe and effective disposal of the waste or if the aste DISPOSAL METHOD (TO BE COMPLETED BY FORWARD) <br /> impairs the safe and effenve operation of the Landfill Forward shall use <br /> reasonable efforts 10 promptly notify Disposer of its inability to accept the DISPOSE BIO AERATE STOCKPILE OTHER <br /> waste for any reason It ForWard s refusal io 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 /> w <br /> SLUDGE <br /> REMARKS ❑ <br /> ❑ NON-FRIABLE <br /> FACILITY TICKET NUMBER ASBESTOS <br /> ❑ WOOD <br /> SATU E 1 F AUTHORIZED f G NT DATE <br /> �. ❑ 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 /> BJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> SCHEDULE CALL. (209)982-4298 <br /> iGP5t7NH)E P6 <br /> IN SALES COPY MANIFEST # C S 8 8 9 7 S <br />