ARCHIVED REPORTS_XR0009801 - Laserfiche WebLink

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,�ORWARD- N - TREATMENT DO S F,�ST FORWARD INCORPORATED WASTE NON-HAZARDOUS WASTE MANIFEST '¢ INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY JOB ACCEPTANCE NO. 19 JOB ACCEPTANCE NO CI1) -- D;,- p�M ❑GLovEs ❑GoGGLEs pRESPwATOR ❑HARD"HAT GENERATOR. _ _ _ RECIUIREDPERSONALPROTECTNEEQUIPMENT T ❑TYVEK []OTHER S A I�ES_M,Lid NbSC�ti ❑GLOVES ❑GOGGLES[]RESPIRATOR ❑HARD HAT r n SPECIAL HANDLING PROCEDURES MAILNVGADDRESS ,K_ - _ ❑TYVEK ❑OTHER QTY�S, I�TFYZJP`Z GiTY STA ZI pr�' "9� t - SPECIAL HANDLING PROCEDURES � 're, �� � �{ ,� CA �5 33 p VECT t_ _ CON CONTACT ,�ri -. SIGNATURE OF AUTHOORRIZM E I`-' kc }: DATE ,-, EtiRAckS-or a s ora-ruRE OF AUTHoTzeD AGDrr�mi-E, DATE J � vYASTE TYPE RECEIVING FACILITY NVASTETYPE pECEMNLiFACILITY © SLUDGE ❑ TREATMENT SOIL ❑NON FRIABLE ASBESTOS FORWARD INC LANDFILL ❑ SLUDGE ❑DISPOSAL SOIL ❑WOOD ❑TREATMENT SOIL ❑NON FRIABLE ASBESTOS FORWARD INC LANDFILL [3 CONSTRUCTION SOIL C)ASH 9999 SOUTH AUSTIN ROAD ❑DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD -Ur—OTHER MANTECA,CALIFORNIA 95336 ❑ CONSTRUCTION SOIL ❑ ASH ®zITHeR 5 �,[ MANTECA,CALIFORNIA 95336 GENERATING FACILITY (209)982-4298 PHONE • GENERATING FACILITY (209)982-4298 PHONE (209)982-1009 FAX (209)982-1009 FAX NIAME NOTES TRUCK NUMBER NAME NOTES Al [� TRUCK NUMBER ADDRESS ADDRESS r CITY STATE ZIP , . CITY STATE ZIP PHONE END DUMP BOTTOM DUMP TRANSFER PHONE END DUMP BOTTOM DUMP TRANSFER SIGNATURE OF AUTHORIZED AGENT OR DRIVER IDATE,,, R -OFF(S) FLAT BED WAN DRUMS El 13 C1 11 6aNURAT E OF AUTHORIZED[AGENT O VER DATE ROCZ-OFFS) FLAT BE© VAN DRUMS * 5� 17 11 1:1 11 FORWARD INC LANDFILL cuBlc YARDs FORWARD INC LANDFILL `A'B'C YIDS Forward"it have no elle on to accept of waste+e o'it r e Omer � candittor,s rnoae the sale and elteclwe disposal of late waste a+the wade DISPOSAL METHOD (TOM COMPLETED BY FORV+4RDi 1 h tmpars the sale ane efteenue ooerauon of the Lardl'A Forward than use SPOSE BIO AERATE 10MIUM&L OTHER Forward shall have no obapathon to accept the waste b wsamer or ohm I reasonable elwa m promptly notify Disposer of its rMabiWY to accept the conditions spar the sale and af}edr a doeoosat of the waste or b the waste DISPOSAL METHOD (TO BE COMPLETED BY FORWARD) waste la any reason d Forward s reluW to accept the waste is triad on ❑SOIL I""tie sale and effedrve operalon of the Landlel Forward ilea use OTHER weather or other Ode conddtda Forward Shall rohdy the{hso0ser when vie reaaonaele efforts to promptly fatly Dtaowar of is inability to accept the B,D AERATE SIOCKPa£ tanditnns are expected to a.II;;e such that Forward web be Ode 10 accent waste la any reason,I Forward a refusal to accept the waste is based on the waste ❑SLUDGE weather or aftr a+e conditions Forward shall potty foe Disposal when lido ❑SOIL • REMARKS condndore we exoesed to duvW tooth that Forward will be able to accept NON FRIABLE the waste C3 SLUDGE ❑ASBESTOS • REMARKS FACILITY TICKET NUMBER ❑�FRIABLE p WOOD FAC ITY TICKET NUMBER StGNATURE_OF AUTHORIZED4aE4T DATE ❑WOOD _ p ASH SIGNATt E Of AUTHORIZED A � DATE * - C]OTHER — — �� ❑ASH 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 HATH THE LANDFILL THE DAY BEFORE SCHEDULING-MUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL•ANY UNSCHEDULED LOADS AAE TO SCHEDULE CALL(209)982-4298 MANIFEST r 53040 SUBIECT SO REFUSAL UPON ARRIVAL ONGOING DALLY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE GENERATOR COPY TO SCHEDULE CALL{209)982-4298 MANIFEST, 53039