ARCHIVED REPORTS_XR0009801 - Laserfiche WebLink

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!♦ �� I! I• � 1• !! e � �� Y ARD .. NON-HAZARDOUS WASTE MANIFEST RNAR" NON-HAZARDOUS WASTE MANIFEST NCORPORATED WATTREATMENT ANP DISPOSAL FACWTY WASTE TREATMENT AND DISPOSAL FY .J]VCORPORATED J08 ACCEPTANCE N0. mkmkmgml�BMW= EggJOB ACCEPTANCE N0. rte_ &ITa T�� ❑GLOVES ❑GOGGLES❑RESPG3ATOR ❑HARD HAT ©GLOVES ❑DOER S❑RESPWATOR ❑HARD HAT f C C]TY VEK ❑OTHER TY VEK- p D SPECIAL HANDLING PROCEDURES S SPECIAL HANDLING PROCEDURE -- p Ltd r4 m_ ' k;I E>iy-L� zT P j Iti Er 1Ov�.�ZQ SIGNATURE OF AuiHORIYED AG _l Tl a._� DATE 1 SIGNATURE OF.AUTHORIZED AGENT 1 TITI E'1 1 E * t1r�t IiQ�c A 1Cyt - VOSM TYPE RECEMN�FACILITY .c 1N0.57'E TYPE _ REGENN[4 FACn.![Y__.,s:_ ❑ SLUDGE ❑ SLUDGE FORWARD INC LANDFILL ❑TREATMENT SOIL [I NON FRIABLE ASBESTOS C1 TREATMENT SOIL r]NON FRIABLE ASBESTOS FORWARD INC LANDFILL + ❑DISPOSAL SOIL p WOOD 9999 SOUTH AUSTIN ROAD C)DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD ❑CONSTRUCTION SAIL ASH ❑CONSTRUCTION SOIL ❑ ASH 'OTHER 56LV.I ,l - MANTECA,CALIFORNIA 95336 .. MOTHER S+ocL'p,LE MANTECA,CALIFORNIA 95336 - - GENERATING FACILITY (209) 9$2-4298 PHONE GENERATING FACILITY (209) 982-4298 PHONE ( (2091982-1009 FAX 2091982-1009 FAX NAME NOTES TRUCK NUMBER NAME NOTES- TRUCK NUMBER i v L,_o, , n It)ALJ r+ ('J ADDRESS ADDRESS I�3L_ �u(' L� IVt' 4�,OE. aC 3i3= % .CITY STATE ZIP - ALr,7�7y .trot smTE ZIP _ q ti�raD�T� ,C� SSSS 11,t:i I iP, SIS=5� - 1 END DUMP -` BOTTOM DUMP TRANSFER PHONE S� "LI'�� EN DUMP BOTTI�DUMP TRANSFER PHONE , ❑ ❑ Li 13 %C I CG SIGNATURE AL)THOFu7,ED NT OR DRIVER DATE ROLL40FF(S) FLAT BED VAN DRUMS SIGNATURk OF AUTHORIZED AGENT OR DRIVER DATE ROLL-0FFIS! FLAT-BED VAN DRUMS /� ❑ ❑ ❑ ❑ J 13 13 1:1 11 FORWARD INC LANDFILL CUBIC YARDS FORWARD INC LANDFILL Forward shall have no oblrgalon to accept the waste d weather or other Forward shall five rho obligation to&Copt the waste d ns weather a other cond4lowarrVrhe safe&W Bilerve dspoaal of the waste or d the waste DISPOSAL METHOD' (TO COMPL-E'TED BY FpRNalR6) Cord-trona ora the salt and eflectwe drsoosal al the waste Or d im waste DISPOSAL METHOD' (TO BE COMPLETED BY FORWARD) wnimm the sale, cl and eNecima Operation of the LandIA For m sties use s gip AERATE smclwtE OTHER v npenn the safe and etfavwe operation of the LanNis Forwartl alias use g� AERATE IFOCxgLE OTHER reasonable efforts b PrvrndN rohly Otspoaer d as natMkms[O aCCeW the neasonade efforts ID p Toly notify Disposer of its inability to atoepf ilia waste For arty mason H Forward s refusal to aotept the wash w based rn L waste for any reaaoa Y Forward a retusal iD accept the Waste is based on weather or other site condrbons forward shah notify the Dnapmr when cote weather or other eAe COW Orli.Forward"notify the Daooser when ante conddion3 are aryected to change such that Forward will be able ED aC oodemm are expected to tharge such that Forward mg be able to accept,, the waste SLUDGE the wase ❑SLUDGE ` REMARKS ` ' ❑ - ❑NON OS REMARKS ASBESTOS AFOS PAGLTY�LCKETjW0ER ASBESTOS FACWTYXCKET>10�48E-�) ❑V4000 ❑WOOD SIGpIATURE f '�IGTHOR17XD t iENY / FkTE SIGNATUR`E��ALRHORIZED 4dENr Dr rLL,- / y _ ❑ASH tFoo—_:T * r/ � ;!, U�' `I ;fit! I r "1 p OTHER ER SCHEDULING MUST BE MADE PRIOR TO A DA P M THE DAY PRIOR TO EXPECTED ARRIYAt+ANY UNSCHEDULED LOADS ARE SCHEDULING MUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL+ANY UNSCHEDULED LOADS ARE SUBJECT TO REFUSAL UPON ARRIVALONGOING 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 1209)082 4208 MANIFEST r 53044 TO SCHEDULE CALL(208)082 4208 ►MANIFEST# 53043 GENERATOR COPY GENERATOR COPY