ARCHIVED REPORTS_XR0009801 - Laserfiche WebLink

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} I - - - - NON-HAZARDOUS WASTE MANIFEST 17ORWARD NON-HAZARDOUS WASTE MANIFEST FORWARD WASTE TREATMENT AND DISPOSAL INCORPORATED AL FACILITY N C O R P O R A T E D - WASTE TREATMENT AND DISPOSAL FACILITY JOB ACCEPTANCE N0. C,A,. —-k40Z_ r J08 ACCEPTANCE N0. FMo— y 0 GENERATOR _ REQUIRED PERSONALPFIOlECTI'VE EOL19WENT GIENERATOR _ r_ _ REQUIRED PERSONAL PROTECTIVE EQUIPMENT []GLOVES ❑GOGGLES❑RESPIRATOR ❑HARD HAT �� --� ' ❑GLOVES [)GOGGLES❑RESPIRATOR []HARDHAT MAq NIG SS _ r QTYVEK ❑OTHER MAILINGAODRESS �_4` -�,i . - 1 ,.. ...xL ❑TYVEK ❑OTHER T _ j a - SPECIAL HANDLING PROCEDURES - CITY STATE,ZIP SPECIAL HANDLING PROCEDURES CITY,STATE IJP� , _ _ _ �•. C p',��o r -r' j — 2'=�- - PHONE _ 'l_ u .�. PHONE 2,zic, -Y57 - (•�_ ti _ .c"�t- `�S`7�` 5" CONL1(.TT�ERSON _ GONIAMPERSOM _y SIGNATURE OF AUTHORED AGENT f YTME DATE 51GNA7l1RE OF RIZED AGENT/TITLE DATE VAbTE TYPE RECEIVNG FACILITY WASTE TYPE RECENNG FACILITY ❑ SLUDGE ❑ SLUDGE NON FRIABLE ASBESTOS FORWARD INC LANDFILL ❑ TREATMENT SOIL ❑ NON FRIABLE ASBESTOS FORWARD INC LANDFILL El TREATMENT SOIL ❑ p DISPOSAL SOIL viom C) DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD 0 ❑CONSTRUCTION SOIL 9999 SOUTH AUSTIN ROAD ❑ CONSTRUCTION SOIL ❑ ASH [ CITHER MANTECA CALIFORNIA 95336 p PTHER�� c = {!_ MANTECA, CALIFORNIA 95336 GENERATING FACILITY (209)982-4298 PHONE GENERATING FACILITY (209) 982-4298 PHONE (209)982-1009 FAX (209)982-1009 FAX NAME NAME NOTES 4000 TRUCK NUMBER ^� ' _ \r� NOTE34 TRUCK NUMBER_ ADDRESS ADDRESS _-..t C o—lfv�i I T"4 CITY STATE ZJP CITY 51ATE ZIP S ( y t . r `r p\.n cam•s C:- 4 5 Si r • PHONE } EN MP BOTTOM DUMP TRANSFER PHONE ENQ DUMP BOTTOM DUMP z-'-,-� s 3 E] 11s i �c4 1:1 1:1SIGNATURE OF AUTHORIZED AGENT DRIVER DATE ROLL (S} }LAT BED VAN DRUMS SIGNATURE OF AUTHORLZED AGENT OR DRIVER JDATE ROLL-OFF(S) FLAT BED VAN DRUMS FORWARD INC LANDFILL cum"'SDs FORWARD INC LANDFILL cum YARDS + ror other waste d weat have ) � ahet fro Iron to&v.W the her , Forward tShth have M adpelgn W acLCPI the waste d e of or caste Forward 1 f corddar a nrpaa the sale and elfecl ve deposal of 1M waste or a the wane DISPOSAL METHOD (TO BE COMPLETED BY FORWARDS cordthons areae the sale and eledrva ddtpoaal of the waste a the waste DISPOSAL METHOD. BE COMPLETED BY FORWARD) crpave the cele and etactr�e operation of the t.ardti4 Forward shall use rntpaaa the sale and e8ethve oWabon of the Landfill Forward WO use reasonable atlorts to promptly rally DlWser of ns mbilty 10 accaw Ins BID AERATE STOCrU7.E OTHER reasonable•ports to prompty nobly 0113PO r d as MWdy 10 accept the BYO �I�TE OTHER waste for any reason If Forwards reluaal to accept the waste is baud on waste for arty reason If Forwards refusal to accept the was*IS belted on weatherm otter sae cutdmorrs Forward Map rally Ire deposer when sae ❑SOIL weather ot other ase ooW mom Forward shag rattly the Disposer when ode ❑SOIL corddms are expected to charge such that Forward wta be We to acceyl corchlic is are expec*d to charge auM Mal Forward w4l be able to accept the waste ❑SLUDGE the waste ❑SLUDGE REMARKS i - REMARKS NON FRIABLE NON FRVSLE ❑ASBESTOS ©ASBESTOS FACg ID R-3 f�NUMBER FACILITY TICKET NUMBER ❑yfOOp `� ❑WOOD SIGI p'KE OF AUTHOR ]DA"' SIGNATURE ATITHORLZED AGE N�{� DATE " L.f C ❑ASH y =� ��iJl 9-& ©A5H 1R 7� , t ER SCHEDULING MUST BE MADE PRIOR TO ASO PM THE DAY PRIOR TO EXPECTED ARRIVAL•ANY UNSCHEDULED LOADS ARE SCHEDULINGWMIST BE MADE-PRIOR TO'*W PM THE DAY PRIOR TO EXPECTED ARRIVAL a ANY UNSCHEDULED LOADS ARE SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES NU57 BE SCHEDULED SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE WITH THE LANDFILL Tiff DAY BEFORE TO SCHEDULE CALL(200(082-4209 MANIFEST r 53027 TO SCHEdULE CALL(20p)984-[2Y8 MANIFEST♦ 53028