Laserfiche WebLink
NON-HAZARDOUS WASTE MANIFEST <br /> ARD - ' WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE N0. <br /> GENERATOR / «,, >;S REQUIRED PERSONAL PROTECTIVE EQUIPMENT' <br /> E]GLOVES ❑GOGGLES C]RESPIRATOR [_]HARD HAT <br /> MAILING ADDRESS--'- _ _ - _ ' ❑TY-VEK ❑OTHER <br /> • CITY,STATE ZIP _ - SPECIAL HANDLING PROCEDURES <br /> PHONE <br /> ' 31b q2 k 7� - ---- --- <br /> CONTACT ARSON s` ;`"` x <br /> SIGNATURE 0- AUTHORIZED AGENT /TITLE DATE <br /> rL r cc <br /> •, E TYF L[ G RECEIVING FACILITY _ <br /> I atn _ <br /> E] SLUDGE <br /> • Q TrREATME 4T SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • -01SPO(;AL SQL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> Lj CONSTRiJC1t0N SOIL ❑ ASH <br /> •• o r J r ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> z <br /> I -GENE RATING�FACILITY (209) 982-4298 PHONE <br /> ~" r (209) 982- 1009 FAX <br /> S 1 � <br /> NAME yl f`y .3" lrt st•-afJ r 7 e£/�['�-- <br /> NOTES 1 TRUCK NUMBER- <br /> ADDRESS /6 J7 12d 4-1 <br /> • CITY, STATE,ZIP t iAl 7,7C- L4 JA <br /> PHONE -),' `] �Y END DUMP BOTTOM DUM TRANSFER_-_ <br /> ❑ ❑ <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL/-OFF(S) FLAT-BED _ VAN _ DRUMS--- <br /> -7151 <br /> RUMS_- <br /> F <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste if weather or other <br /> I conditions impair the safe and effective dLsposal of the waste or if the waste DISPOSAL METHOD (TO BEC_OMP3 ETED BY IFORWAF D) <br /> impairs the safe and effective operabon of the Landfill Forward shall useOSEAERATE <br /> reasonable efforts to promptly notify Disposer of its inability to accept the I� "��y-'} F j <br /> waste for any reason If Forwards refusal to accept the waste is based on iL <br /> weather or other site conditions,Forward shall notify the Disposer when site <br /> conditions are expected to change such that Forwardwillbe able to accept <br /> the waste ❑ SLUDOE <br /> • REMARKS <br /> • NON-FRIABLE <br /> -- - - _ ❑ ASBESTOS <br /> FAPLITY TICKET NUMBER—����_�-��.w�s�,�_:_= .:�� �:� ❑ <br /> WOOD <br /> GNATUREF AUTHORIZE AGENT ^�=- _ DATE <br /> SI6 - <br /> ; j ❑ ASH <br /> 7(C _ -yy% L_ / ❑ OTHER <br /> + <br /> I 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 # 35574 <br /> SALES COPY <br />