Laserfiche WebLink
ORW �RD NON-HAZARDOUS WASTE MANIFEST <br /> I NC O,R PORATED WASTE TREATMENT AND DISPOSAL FACILITY <br /> -JOB ACCEPTANCE N0. 8 .330 Vii. <br /> 1 <br /> ENERATO ',;..;_y f9�; ,?%,F4w �,k. µ =; �r ,.�;t, REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> B ;k _ N GLOVES ❑GOGGLES ❑RESPIRATOR ®HARD HAT <br /> 323 Pine Eireet -�` - ❑TY-VEK []OTHER <br /> CITY,STAGE, SPECIAL HANDLING PROCEDURES <br /> (26§)943-2011 <br /> CONTACT PERSON'= <br /> Nsck Hrtid�' <br /> _SIGNATUR�EfOF AUTHORIZED AGENT J TITLE DATE <br /> fZA <br /> • WASTE�.TYPE- s RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • JE]M DISPOSAL SOIL El❑ CONSTRUCTION SOIL ❑ ASH ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GEMtRATING FACILITY (209) 982-4298 PHONE <br /> 2191 ?abs% rA-,•3ae STW_KTO (209) 982- 1009 FAX <br /> AME I TRACTOR LIC # _ TRUCK NUMBER <br /> ADD S TRAILER LIC # <br /> • CITY,STATE,ZIP TRAILER LIC <br /> o1x <br /> PHONE f! �'� <br /> END DUMP BOTTOM DUMP TRANSFER <br /> 1210 ❑ ❑ <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> e <br /> FORWARD INC. LANDFILL CUBIC YARDS <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 LandUl Forward shall use <br /> reasonable efforts to promptly notify Disposer of its inability to accept the DISPOSE BIO AERATE STOCKPILE OTHER <br /> waste for any reason If Forwards refusal to accept the waste is based on r�rOIL� <br /> weather or other sste conditions, Forward shall notrfy the Disposer when site E S <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste ❑ SLUDGE <br /> • <br /> REMARKS <br /> ❑ NON-FRIABLE <br /> FACILITY TICKET NUMBER ASBESTOS <br /> ❑ WOOD <br /> NATURE OF AUTHORIZED AGENT DATE <br /> f rr 1 ❑ ASH <br /> 7RC <br /> �� �� % r% - ❑ 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 DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> TO SCHEDULE CALL (209) 982-4298 <br /> F01(C9511NH)6 P6 SALES COPY MANIFEST 4 C <br />