Laserfiche WebLink
u-,0_.*,r. ,,.F0RwARVNON-HAZAJOUS WASTE MANIFEST <br /> WASTE TREA NT AND DISPOSAL FACILITY <br /> ! y'+,CLJRP-ORATED <br /> .r` JOB•ACCEPTANCE N0. 1744911 <br /> GENERATOR - REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> G�znpi=NJ FR]GLOVES []GOGGLES E]RESPIRATOR @ HARD HAT <br /> MAILING ADDRESS ❑TY-VEK ❑OTHER <br /> 260 NlicLe.*Court <br /> CITY,STATE,ZIP SPECIAL HANDLING PROCEDURES: <br /> • Saute Sian Prtarcizc_^,CA 940t.,t'! <br /> PHONE <br /> (925)S73-92SB <br /> CONTACT PERSON <br /> SIGNATURE Pr AUTHORIZED APE;NT/TITLE DAT, <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ' ' ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • F1 DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ' ❑ STOCKPILE ❑ OTHER MANTECA, CALIFORNIA-95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> t . :.H;a6; (209) 982- 1009 FAX <br /> NAME TRACTOR LIC,# TRUCK NUMBER <br /> Its <br /> t cl ;SSE <br /> ADDRESS TRAILER LICA#� t <br /> CITY,STATE,ZIP TRAILER <br /> TRAILER LIC. # <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> 51GNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> El El 0 <br /> ` FORWARD INC. LANDFILL CUBIC YARDS <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 ; <br /> reasonable efforts to promptly notify Disposer of its inability to accept the _ DtSPOSE BIO AERATE STOCKPILE OTHER <br /> waste for any reason. If Forward's refusal to accept the waste is based on SOIL <br /> weather or other site conditions, Forward shall notify the Disposer when site <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste. ❑ SLUDGE <br /> • REMARKS <br /> ` NON-FRIABLE <br /> FACILITY TICKET NUMBER. s 9-,M..''-... ❑ ASBESTOS <br /> WOOD <br /> SIGNATURE•DF AUTHORIZED AGENT DATE <br /> _.._ ... - - ,r� ❑ ASH <br /> :; • - ; rI ❑ 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 c <br /> F01(C951 INH)6-96 SALES COPY MANIFEST # c 6 F 0 3 C <br />