Laserfiche WebLink
'`�`art-� rr rs+ .v-. r - •- ` - "' r i <br /> A 1 NONHAZARDOUS WASTE MANIFEST <br /> V►a INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY , <br /> JOB ACCEPTANCE NO. <br /> 7jpEQtlIREDERS0NALP_ROTEC77VEt�UIPME__ „ <br /> I e &lei&t-)- f ,gEOVES n GOGGLES []RESPIRATOR ❑HARD HAT <br /> L1 E <br /> [:)TY-VEK ❑OTHER <br /> SPECIAL HANDLING PROCEDURES ' <br /> A ° <br /> -- <br /> NT P-E SON <br /> SIGNATURES i.AUTI-IORIED`AGENT <br /> ;? y <br /> WASTETY471RECEIVING FACj1�TX�,�.�c�"+=" � <br /> SLUDGE <br /> TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL �I <br /> • aDISPOSAL SOIL ❑ WOOD II <br /> ❑ CONSTRUCTION SOL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> } <br /> LGENERATINGFACILITY _ (209) 982-4298 PHONE �! <br /> A/I (209) 982-- 1009 FAX <br /> NAMES V CI<r`�n <br /> NOTES-", f ,_. _�TRUCK NUMBER' <br /> >f71,Z t✓�+��5 _ � � C <br /> �1 i <br /> • CITY,STATE,ZIP <br /> PHONE' Y ' � END DUMPS f BOTTOM DUMP TRANSFER y <br /> SiGl�1i4TURE OF/ UT ORIZED AGENT OR DRfVER DATE ROLL-OFF(S)p y��yFLAT BED, r VAN DRUMS <br /> - - r n - <br /> El <br /> CUBIC YARDS <br /> FORWARD INC. LANDFILL <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 of the waste DISPOSAL-METHOD _ (TO BE COMPLETED BY FORWARD) <br /> impairs the safe and effective operation of the Landfill Forward shall use I <br /> DISPOSE B10 AERATE STOCKPILE OTHER <br /> reasonable efforts to promptly notify Disposer of its inability to accept the _ _ w - - _ W . O. _ _. <br /> waste for any reason If Forwards refusal to accept the waste is based on <br /> weather or other site conditions, Forward shall notify the Disposer when site ElSOIL <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste ❑ SLUDGE <br /> REMA iKS._ '� .:s-.� r -,_. > z ..� x _. _ z.:.�-` NON-FRIABLE <br /> FACILJTYTICK �"�`'' �" = 'T ""'"�s"' ❑ ASBESTOS <br /> RK <br /> ❑ WOOD <br /> -NATi1RE, ,4� OR D G N—T-7-�'�/ :� �AE`,�..;�'. ,. <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 /> SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> TO SCHEDULE CALL (209)982-4298 MANIFEST # 57834 <br />