Laserfiche WebLink
y a {�� 6t <br />' + _ NON-HAZARDOUS WASTE MANIFEST <br /> . O YY���INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. .8�` ,I ,, ' � <br /> E E RI`OUIRED PERSOIUAL'_PRO CMVE EQUIPMENT.-' <br /> E]GLOVES ❑GOGGLES [:]RESPIRATOR ®HARD HAT <br /> MA1L1N DD E5 - # `-«+ '` ^" ;* ❑TY-VEK- -C]OTHER <br /> 522 Wag R&W <br /> r- -M= SPECIAL HANDLING PROCEDURES <br /> STA 7JP <br /> ASCEF3SON�...atr'._.�.r,.na.� .°.wa:�. x_w".., <br /> KA "T'° DATE <br /> SIGNATL�RE",�� liTl-]ORIZED AGENT f T17'LE , <br /> kmo <br /> WASTE, PE 1" , "�'w 'k�.�, _ �" . _ _ . RECEIVING FACILITY .�� <br /> SLUDGE <br /> TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br />' GENERATINGFACILITY (209) 982-4298 PHONE <br /> 1S'I Navy Dnve ST0-CrON (2 0 9) 982- 1009 FAX <br /> INAME TRACTOR LIC # TRUCK NUMBER <br /> ADDRE55 ;� U c r, �C TRAILER LIC A y <br /> _ r� _ <br /> - 2�I t oo n�l r s t vX 3L <br /> CITY,STAT ZIP W TRAILER LIC # <br /> • o C id/V/ c r�} ?7 Z>CJS <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> 15 <br /> SIGNATURE.,OF AUTHORIZED AGENT OR DRIVER DATE ROLL OFFS) FLAT-BED VAN DRUMS <br /> ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL CUBIC/YAC <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 �r� DISPOSE BIO AERATE STOCKPILE OTHER <br /> reasonable efforts to promptly notify Disposer of its inability to accept the <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 sit SOIL <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste ❑ SLUDGE <br /> REMARKS <br /> NON-FRIABLE <br /> - _ ❑ ASBESTOS <br /> FACILITY TICKET MBER <br /> — El WOOD <br /> IGNATURCI AU-AU-M- IZ ,AGE ❑ ASH <br /> ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4 00 P M TFtE 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 o s <br /> BEFTE <br /> F (S59SALES COPY SCHEDULE GALL [209) 982-4298 MANIFEST # C <br />