ARCHIVED REPORTS_XR0009703 - Laserfiche WebLink

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= � C =HAZARDOUS WASTE MANIFEST ARD ;�� { ASTE TREATMENT AND DISPOSAL FACILITY fes ' JOB ACCEIP GENII iAT4Rff," EOUIRED iRSO, _ 7ECTI IrQUEPME '�� " THRIFTTk~ 0 _ _ ❑GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD NAT MAI�� : �" ❑TY-VEK ❑OTHER SPECIAL HANDLING PROCEDURES SIGNi4TURETJI [L - DATE..—�- 1NAS71*T - _ r RECEMNG FACILITY #+j �� - ❑ SLUDGE 4TREATM4 OIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL • ,QISP OCL ❑ WOOD 9999 SOUTH AUSTIN ROAD CONSMJTFN SOIL ❑ ASH ' . 0 ❑ OTHER MANTECA, CALIFORNIA .95336 WR" _ oz: COMPANY (209)_982-4298 PHONE__ PACIFIC AVENUE - (209) 982- 1009 FAX STOCRTON.CA NAME NOTES DUCK NUMBER-_�,;: DENBESTE TRANSPORTATION INC . ADDRESS . CITY, STA47N SHILOH RD #44 • PHONE END DUMP BOTTOM DUMP '. 17 WINDSOR, CA7795492 ❑ ❑ SIGNATLfRE �AERAGENT OR DRIVER DATE _ ROLL-OFFS) FLAT-BED -VAN ,.,,.DR Lma i i t /lam �! - C ❑ ❑ ❑ ❑ FORWARD INC. LANDFILL CUBIC YARDS Forward shall have no obligation to accept the waste d weather or other conditions impair the safe and effective disposal of the waste or d the waste DISPOSAL M BE ICOM Impairs the safe and effective operation of the Landfill Forward shall use -y..•= ...M reasonable efforts to promptly, notify Disposer of its inability to accept the waste for any reason.If Forward's refusal to accept the waste is basedon -- - weather or other site conditions.Forward shall noW the Disposer when site ■ conditions are expected tis charge such that Forward wrnll be able to accept the ara5ta __ - _ ❑ SLUDGE R�.w.:.rgS'a6t[MRwr ewY'w..wwf�—_ _ i••�i 13fAWr7S13Y �/�p� —•-- _ --'� N��OpN--F��RLABLE _ ^' + CK ❑ ASBESTOS FISCILTCY=t1CKE�-NCS--= - ----- -- ------- - •-- � TURE S RI ED AG� - a %f�_ DATE.'r12:, WOOD ,� , ❑ ASH _ OTHER SCHEDULING MUST-13E_MADE-PRIOR TO 4,WP M THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. TO SCHEDULE CALL (209)982-4298 MANIFEST # C 9252 GENERATOR COPY —