ARCHIVED REPORTS_XR0009703 - Laserfiche WebLink

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r A ` NON-HAZARDOUS WASTE MANIFEST WASTE TREATMENT AND DISPOSAL FACILITY B ACCEPTANCE NO I 4r, Kkfsw. A R 9N TEO a � r ,y,—ft. aJ_ uw. _'xati5r 0 [:1 GLOVES El GOGGLES ❑RESPIRATOR ❑HARD HAT ❑TY-VEK ❑OTHER ' - Q SPECIAL HANDLING PROCEDURES E �'`%tr' 'yh.''�'—'-:`y�ic'—' -•rs5��psscx^+c�r,_rT� `*�-� ms I1/� �3/ _-- CONTACT PERSON- RAYMOND MEDRICHSEN _ SIGNATURE OF AUTHOR ED AGENT,/ _ DATE y ` _ WASTE RECEIVING FACILITY ❑ SLUDGE l I 'PrREATNIGNT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL [ECIsposIL ❑ wooD 9999 SOUTH AUSTIN ROAD �4CON T[ON SOIL ❑ ASH ❑ OTHER MANTECA, CALIFORNIA 95336 NERATI (209) 982-4298 PHONE PACIFIC AVENUE � CKTON,CA (209) 982- 1009 FAX � NAME DENBESTE TRANSPORTATION, INC. NOTES TRUCK NUMBER; . ADDRESS �/�/'�/��`� P . I 930 SHILOH RD #444 • CITY,STAT$71PRDSOR, CA 95492 ' PHONE �O�—� 8—��0� E DUMP BOTTOM DUMP TRANSFEW,s -� ❑ - ❑ i SIGNATURE AMORIZED��R DRIVER RO -OFF{ ) FLAT-BED VAN.."� m m- - 7 22 ❑ ❑ ❑ Q E FORWARD INC. LANDFILL - Formard shall have m obripwn to accept tfre waste d weather or ottxr cond+t►ons impar the safe and effecb%e disposal d the vmsta or I the waste impairs the safe and effective operabon of the Landfill!_ Forward shalt use - masonabte efforts to promptly rrolrfy Dbpoeer d Its !rability to eeeept the waste for any reason. If Forwarcrs reftmal-to aooept Zhe waste Is based on weather or other srte condborM Forward shag fogy the Deposer when site condrtrons are erected to change strch that Forward will be able to accept they�wE yaste _ ❑SLUDGr NOWMABLE FACILITY TICKET NUMBER ❑ _ _WOW AS" _- i �- �++.----�---- ❑ASH -! i l/ �`� ❑ OTHER ' SCHEDULING MUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL a ANY UNSCHEDULED LOADS ARE SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED IMTH THE LANDFILL THE DAY BEFORE TO SCHEDULE CALL (209)982-4298 MANIFEST # C Q ,4 n I;