ARCHIVED REPORTS_XR0009801 - Laserfiche WebLink

Home Browse Search

WARD NON-HAZARDOUS WASTE MANIFEST NON-HZADOUS WASTE MANIFEST c o R P o R +TED WASTE ° 'olsPosAL FACILITY )N C O R P O R A T E D WASTE TREATMENT AND DISPOSAL FACILITY JOB ACCEPTANCE NO. ' JOB ACCEPTANCE NO JC-44A4— �/yd,l` ❑GLOVES ❑GOGGLES❑RESPIRATOR ❑HARD HAT GENERATOR 'j REOUIFiED PERSONAL PROTECTIVE EQUIPMENT IAAR1fdG r r []TY HEK ❑OTHER -^J fs ❑GLOVES ❑GOGGLES❑RESPIRATOR ❑HARD RAT G ADDRESS ,_, c ❑TY-VEK ❑OTHEA i PITY,!-/v 15pl (77 � , � e� , s, TT SPECIAL HANDGNG PROCEDURES � MAR)N , V - N SPECIAL HANDLING PROCEDURES CITY S/DU�E 73P _ F'HOfJE9 - �!'S' CONDUCT PERSON - T_ C f -nr rSO/t SIGNATURE OF J /AG1,4/'71T1 E� D 1TE r SIGNATURE OF AUTHORIZED AGENT TITLE DATE t r a JWASTE TYPE - __ - RECEMNG FAGII TY _ ra�r • WASTE TYPE RECEIVING FACLff Y ❑ SLUDGE ❑SLUDGE ❑ TREATMENT SOIL ❑NON FRIABLE ASBESTOS FORWARD INC LANDFILL ❑ TREATMENT SOIL ❑NON FRIABLE ASBESTOS FORWARD INC LANDFILL ❑DISPOSAL SOL ❑ WOOD 9999 SOUTH AUSTIN ROAD D DISPOSAL SOIL ❑WOOD ❑ C,ONSTRUCnON SOIL ❑AH © CONSTRUCTIONSOLL ❑ ASH 9999 SOUTH AUSTIN ROAD Q.oTHER-5f--,.-eILC MANTECA,CALIFORNIA 95336 Ir OTHER �..r = MANTECA,CALIFORNIA 95336 • GENERATING FACILITY (209)982-4298 PHONE GENERATING FACILITY (209)982-4298 PHONE (209)982-1009 FAX (209)982-1009 FAX NAME � , J_ NOTES TRUCK NUMBER NAME NOTES TRUCK NUMBER ADDRESS�Ptl {� �r � pc�� 4] f ADDRESS 1` I , JL CITY STATE 7JP .CITY SE ZIP rbc / 11CJ1��5� I C4", TAT ��-� (�� 4�J PHONE r� , *� y• EN p IH1MP BOTTOMDUMP TRANSFER :r(S) rBOTTOM DUMP TRANSFER , 5-`�{�-' l ❑rrC.c� i-��/- © ❑ SIGNATURE �OD ENT OFRIVER r ROLL-0FF(S] FIAT BED VAN DRUMS SIGNATURE OF AUTHORIZED AGENT OR DFWER DATE FLAT BED VAN DRUMS ❑ ❑ ❑ ❑ ❑ Cl ❑ ❑ cUac YARDS �- FORWARD INC LANDFILL CUBIC YaRas FORWARD INC LANDFILL r I Forward shall Mve ro dblgataNt to acceW the waste d weather or other Forward atoll have no dbI pori pre W accaW Ilta waste H wean ar or other i cardrlbns KnPaw the sale And effectrva 613POIBI Ot the wase a d the waste DISPOSAL METHOCfy (TO BE COMPLETED BY FORVAAD) condntFor and the pea and ewlione drapopt of the waste Ord the waste ergaus the orate and allocirm operation of the undl,6 Forward ahas use d 0 WO AERATE n�OU OTHER DISPOSAL METHOD (TO BE COMPLETED BY FORWARD) reasonabie ataarts to pu Wiy notdy DePoaer d ns rutruiy to ecceW ine itnows the Baia and afleehee aperabon of are Landldl Forward abed use SPOSE WO AERATE I=CKFU OTHER waste for any reason II Forward a nual hto accept Ne waste is rased on ❑SOILnasomUs efl mU to porraly ndily Dtiomar W Ss eteberty to accepttheweather or Other ane codbons Forward Snap nothe Dt=ser when ate waste for any reason If Forwards refuel to aceeW the waste is based on conddwru are expected to owipe such that Forward me be able to accept weather or other site condns Forward atoll notdy the Dtsposer when ate ❑SOIL the waste ❑SLUDGE nra COnidibpna era aspected to charge such Inst Forward wiz be able to acceW 9ie waste ❑SLUDGE • REMARKS NOM STOSFRIABLE + �� ❑A58E5705 NON-FRIABLE I FACILITY TICKET NUMBER WOOD ❑ASBESTOS _ FACILITY TICKET NUMBER I - ^ SIGNATURFOI-AUDi6F11ZWAGENT'N � DATE / ❑WOOD [` �OE SH SIGNATCRE OF AUTHORIZE AGE�iT OATS __ JE SCHEDULING MUST BE MAGE PRIOR 70 4.00 P M THE DAY PRIOR TO EXPECTED ARRIVAL•ANY UNSCHEDULED LOADS ARE SCHEDULING1VIOST BE MADE PRIOR TO 4 OD 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 THE DAY BEFORE SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE TO SCHEDULE CALL(209)982-4298 MANIFEST- J 3tl 42 1 TO SCHEDULE CALL(209)982-4298 MANIFEST• 53041 GENERATOR COPY