ARCHIVED REPORTS_XR0009801 - Laserfiche WebLink

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�L'IcltC WtinV TYVIV-I "LHI vuua vm I C Nmvrr-o I NON-HAZARDOUS WSTE MANIFEST INCORPORATED WAM T NT AND DkSPOSAL FACRRY FORWARD +ASTE TREATMENT AND WIPOSAL FACLY JOB ACCEPTANCE NO. INCORPORATED JOB ACCEPTANCE NO. MIT � �� y%(\ LAr ❑GLOVES ©GOGGLES©RESPIRATOR []HARD HAT ❑TYVEK ❑OTHER fblJ ❑GLOVES ❑GOGGLES❑RESPIRANOR ❑FMOHAT QTY VEK ©OTHER SPECIAL HANDLING PROCEDURES d KS: 18_ SPECUIL HANG PROCEDURES �AT" gC4 CY 3�N - Sk ATURE OF AUSH�jORIZED/AGEFT�SI�1�'x`Wr DA11TE �/ J A N 4ePQ_L C L5L`ra * lL rt Y.C tool{ �y Uq� j SIGNATllRE OF AUTtIOF&ED AGENT V _ �T�FTMI "� VOSTE TYPE _ ,v _ RECEMNGFA="__j * E / t� 1$5i y��TYPE� - _ _ RECEIVING FACAlTY ❑ SLUDGE FORWARD INC LANDFILL ❑ TREATMENT SOIL ❑NON-FRIABLE ASBESTOS ❑ SLUDGE ❑ DISPOSAL SOL ❑ WOOD 9999 SOUTH AUSTIN ROAD ❑ TREATMENT SOIL p NON FRIABLE ASBESTOS FORWARD INC LANDFILL p CONSTRUCTION SOL p ASH • ❑DISPOSAL SOIL ❑ wCOD 9999 SOUTH AUSTIN ROAD OTHER s�C�1�,1 MANTECA, CALIFORNIA 95336 ❑ CONSTRUCTIONS OIL ❑ ASH ErOTHER 5-�.c� t.c MANTECA,CALIFORNIA 95336 GENERATNGFACWTY (209) 982-4298 PHONE • GENERATINGFACILITY (209)952-429$PHONE (209)952-1009 FAX ! (209)982-1009 FAX i NAME NOTES.. TRUCK NUMBER >Y i �hG!��L� r-f"'• NAME 1'NO�_T�-E,S. _ TRUCK NUMBERr ! -P-q 4 rie^C ,�•�,� ti ADDRESS ;J �� i r�Cll`11`"r ttL1�l eke _j ��3 t 3 d`7 ADDRESS CrrY STATE ZEP r� Y 14`''Z7 . Cmr STATE ZJP _ J - END DUMP BOTTOM DUMP TRANSFER ,�'IL y��S1C t 4 N , ��?� r '� ❑ ❑ PHONE ENpMP BOTTOMDUMP TRANSFER PHONE Ccj\ S) i fL`L �� SIGNATL)fjl AIJTHORIZEAAGENT OR DRIVER DATE ROOOFF(S} FLAT BED VAN DRUMS !�-a 1 C�^5 -cf I'zt y ❑ ❑ ❑ © SIGNATUR&4 AUtHOI'2ED AGENT OR DRIVER DATE ROLL�SS► FLATBED © O S FORWARD INC LANDFILL CUBIC YARDS FORWARD INC LANDFILL cuBlc YARDS Forward shell hm AD atllgaaan to accOM the-2510 a weather or other I F . _� conditions mVw Ire safe and effectwo disposal of the w"te ar a the waste SPOSAL MET GTO Be COMPLETED BY FORYVARO) Forw"shah rave no obhgawn to accept the waste 4 weather or other enpSrs IM sale and etleove operaton of the Landind Fo.ward shad tea Cand<tKrn Impar the sale and eltectr a deposal d 9*waste a A the waste DISPOSAL METHOD (TO BE COMPLETED BY FORWARD) Mason"elfots to promptly notoy Oreposer ot pts mubraty to accept the E HIO' AERATE MER ,�,s the este and elledroe operatKrn of the LandtlH Forward shall use $POSE 010 JAERATE STOCKI Ll OTHER waste ter arty reeao2 a Forward s refusal 10 aeCeq ale wale s fused on �L reasonable ellorta[r prornotty notdy Usooser d as rudkty to eCcaPt the / weather or other we COWAOIS Forward Shan r�a4 Ira 0aposer when$"a waste for arty season a Forward s refusal b accept the waste a based on Q OIL Cenddrohs are expected to charge ouch that Forward"If ba ebM to accept weatt a or otter Ste COWrt n5 Forward shad rlotdy the Deposer-nen ute �+ the waste 5 ❑SLUDGE codons are expected to Chalge Sud+that Forwud win be able w accept REMARKS / SLUDGE ' NOH MOBL£ ❑u0EST05 REMARKS NON FRUABLE FAgi fY#[AET NUWER ❑AssESios ❑WOOD FACILITY TICKFT-NUMBER $IGNATUBi OF ALgi4OFIl#D+AGENT W Dpi ©� SIGOAT1IWOF AUTHOR ED AGENT JDATE ❑WOOD i1 a i�1 j f 11 I f "t f [:]ASH �' xr v^�I , 1 l� Y I ❑OTHER *` S t 1 iL k ,,L ��-� l [ (3 OTHER SCHEDULING MUST BE MADE PRIOR TO 4.00 P M THE DAY PRIOR TO EXPECTED ARRIVAL a ANY UNSCHEDULED LMS ARE SCHEDULING MUST BE MADE PRIOR TO 4110 P M THE DAY PRIOR TO EXPECTED ARRIVAL ANY UNSCHEDULED LOADS ARE SUBJECT TO REFUSAL UPON ARRIVAL Oi GOING DAILY oEUVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE 1 MANIFEST• 53045 SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE TO SCHEDULE CALL(204)982-1298 TO SCHEDULE CALL(209)882-4298 MANIFEST. 53046 GENERATOR COP'( GENEAATORCOPY