ARCHIVED REPORTS_XR0009801 - Laserfiche WebLink

Home Browse Search

i Nov i i i i i i � i �� ■wt•■ �� +_ I� FORWARD FORWARD NON-HAZARDOUS VOOTE MANIFEST NON-HAZARDOUS WASTE MANIFEST INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY l r ` JOB ACCEPTANCE NO. _ f r JOB ACCEPTANCE NO C mom— t(pZ w �� --- E T-- REQUIRED 5MMALFROTECTIVEECU MEM I �� C. p� S ❑GOGGLES❑RESPWATOR ❑F4ARDHAT ^I/1L `f GENERAW "-J []GLOVES ❑GOGGLES❑RESPWATOR ❑HARD HAT { ❑TYVEK ❑OTHER MAILING ADDRESS A.- ❑N-VEK pbTHER GffY SPECIAL HANDLING PROCEDURES : :� - r- SPECIAL HANDLING PROCEDURES L i'31<«P C P CA S ■ �I-t�t^ S O��Sys �S 3 r * - PHONE( am -2 c-, '7S7 - 1 PHONE w.sS t_ CONDS["T PERSON S� ^4 SIGNATURE OFALRFIOWIED AG_ TITLE e71QE �- SIGNATURE OF ALIMRIZED AGENT/TTTLE DATE A WASTE TYPE 5 y RECEIVING FACLrrY NIG NPAS7E TYPE RECENFACILITY ❑SLUDGE ❑SLUDGE ❑ TREATMENT SOIL ❑ NON FRIABLE ASBESTOS FORWARD INC LANDFILL. ❑ TREATMENT SOIL ❑NON FRIABLE ASBESTOS FORWARD INC LANDFILL • p DlsPosAL sax ❑ Wool) 9999 SOUTH AUSTIN ROAD • ❑ DISPOSAL SOIL ❑ WOOD ❑ CONSTRUCTION SOIL [] ASH ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD ['OTHER _ MANTECA, CALIFORNIA 95336 C;�roTHER F r MANTECA,CALIFORNIA 95336 • �j�i.u, �4�� GENERATwGFACIIJTY (209) 982-4298 PHONE GENERATING FACILITY (209)982-4298 PHONE (209)982-1009 FAX (209)982-1009 FAX NAME � .r NOTES TRUCK NUMBER NAMENOTES. -� TRUCK NUMBER ^ ,� � 'J'j`r`' t O t It 2 Y = ADDRESS ADDRESS CITY STATE ZIP - -r= \ _ .CITY STATE,I ZIP r - - � (v"1 rxr�i`i7� C N a 5 S j PHONE . ) G ENDLIMP BO DUMP TRANSFER PHONE END DUMP BOTTOM DUMP TRANSFER _" �' c, '' `I I c C 74`)-S -Iq—5 7j © ❑ ❑ SIGNATUgE'OF AU fl�@ D AGENrOft DR1V l DATE ROLL'OFFt51 FLAT-BED VAN DRUMS SIGNATURE OF AUTHORIZED AGENT OR DINER DATE ROLL-OFF(S) _ YLAT BED VAN DRUMS _ .I © D 17 CUBIC �k FORWARD INC LANDFILL YARDS FORWARD INC LANDFILL CUBIC YAM � Forward atoll two Tto OWgeiton 10 accent We waste d weather or other i 1 rond,t,ww mor r ar sale and atlectrw dnpoaal d"waste Or A the waste DISPOSAL METHOD (BF COMPLETED BY FORMFID) Forward shall hew no oblpation to Accept lhe waste d weather or other urparrs the sate Wd effaWw operation of the L den Forward snail use eadao erpar the sate and ella*oe damns of the waste or 11149 waste DISPOSAL ME7Hm (TO BE COMPLETED BY FORV%MR ns teor at ore efforts to promdy notdot w y Omposer ds mabddy to accept E Bt0 AERATE 5= OTHER ra arpaas the wts VW albcawe operaom of the Lar o ForwWd Shall arse , t~ BID AERATE fiT�CId7E OTFIER waste la arty raawa tf Forwarda rehwal to Accept the wute o bated on UPZMARKS e ellorta to p wom /noaty DispOaor d as tnabday to accept the 1 _ weather or other ede conddam Forward thea noaly the Doodler when ede SOIL arty reason 0 FWwW a rek"b woeo the waste a based on l cordstnns are exN0ed 10 Charge wXA that Forward wig be at*10 ACM0 <other ade conddtdrm Forward SW hotdy the DoPaaer when alta ❑50lx the waste ❑SLUDGE are expected 10 charge ach that Forward vee be abk to accept ❑SLUDGE REMARKS NDN FPoABLE S _ ❑ASBESTOS ❑ASBES<OS FFUABUE FAClUTY TICKET NUMBER WOOD TICKET NUMBER ❑WOOD SIGNATURE OF AUTHORIZEaAGEN7�� DAT£ OR D ENT - ^ ❑ICSH ORASH- J Q�THER SCHEDULING MUST BE MADE PRIOR TO 4.00 P M THE DAY PRIOR TO EXPECTED ARRIVAL• ANY UNSCHEDULED LOADS ARE SCHEDULING MUST BE MADE PRIOR TO 490 P 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 THCEryDAY B7EFCORE SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILLTHE DAY BEFORE TO SCHEDULE CALL(200)082-4298 MANIFEST a J J O L V TO SCHEDULE CALL.(209)982-4298 MANIFEST e 53025 GENERATOR COPY