ARCHIVED REPORTS_XR0009801 - Laserfiche WebLink

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� �� I! � � � s � ■ter w�r� �� _ NON- ARDOUS WASTE MANIFEST �R�jJ�4RD NON-HAZARDOUS WASTE MANIFEST ��V►`�� HAZ WANT AN STE TREATMED DIS?OSAL FACILITY WASTE TREATMENT AND DISPOSAL FACILITY I N C D R P D$A T E D INCORPORATED JOB ACCEPTANCENO. ''— • JOB ACCEPTANCE NO. - LJ41 Qf'3 ❑cLOVEs ❑GOGGLESpRESPIRATOR ❑WARDHAT M N ❑GLOVES ❑GOGGLES❑RESPIRATOR ❑HARDHAT ❑TYVEK ❑OTHER �W r ❑TY-VEK ❑OTHER G SPECIAL HANDLING PROCEDURES SPECIAL HANDLWG PROCEDURES - IF CONDVcr i :;v ;+ � fl N � C EWE; SKiWLTURE OF AUT}iD�ZED ACENT�TrTLE_ �� * X71Y%%4M TYPE _ ,_ _. _. RECEIWJG FACY IFY vom TYPE - RECEtvu+IG FACILITY _ ❑ SLUDGE FORWARD INC LANDFILL ❑SLUDGEFORWARD INC LANDFILL ❑ TREATMENT SOIL [I NON FRIABLE ASBESTOS [3EAT TREATMENT Son. ❑NON-FRIABLE ASBESTOS - ❑ DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD ©DISPOSAL SOIL CONSTRUCTION SOIL [)�Q° 9999 SOUTH AUSTIN ROAD ❑ CONSTRLICTION SOIL 'ASH OTHER-jjei�L MANTECA,CALIFORNIA 95336 + (OTHER S �q(� MANTECA,CALIFORNIA 95336 ` GENERATINGFAGLRY (209)982-4298 PHONE GENERATING FACILITY (209}982-4298 PHONE (209)982-1009 FAX (209)982-1009 FAX NOTES _ ,, TFK=NUMBER NAME NOTES TRUCK NUMBER NAMEr ADDRESS ADDRESS (� �u0E e �-'l` y .CRY STATE ZO t _, CRY SURE _ / f- - �11�a S Imo- ICP END DUMP BOTTOM DUMP TRANSFER PHONE � �� END DUMP BOTTOM DUMP TRANSFER PHONE __� � Tr _C�I l� ❑ ❑ r� �� S f D --Clr Ck" ❑ ❑ SIGNATURE 0:4('`�Ll E�OR DRIVER DATE OFFI5) FLAT BED WW DRUMS SIGNATUREWA OFfiZED AGENT OR DRIVER JDATE OFF{Sp FLAT BED VAN DRUMS f ❑ ❑ ❑ ❑ r q 22 ❑ ❑ ❑ ❑ CUIIICr`os FORWARD INC LANDFILL CUBIC YARDS FORWARD INC LANDFILL , Forward"I"no cnlown to accept Ura waste d waattter or finer /t ecceq ooMdnre wnW the sate and W"WW d�swsal of the waste or d ow waste DESPOSAL METHOD' (TO BE COMPLETED BY FORVARD) Farwmd anal)how no obtgaWn b the waste K weather or armor cordenons wrpw Ina safe and eifectne depoad of the wast@ or d the waste DISP METHOD, (f0 BE COMPLETED BY FORVMD) ellpaws the safe and wptiy opsr DL al Ina l.As d ty LO anal use DISPOSE AERAS OTHER sttpaws ft safe and effecIm operelron of the L&XU Forward shall use roaste for V resrts to t�Wy n,ddv Iusposer of As wu waste to bm Inn Rasonobte OWU m pmnptly rt011fy Deposer ot ds natAty a accept the BOD AERATE ISTOCOU OTHER wase!a any reason p Forward s rward k ra4 the waste a Cased on s waste kr any reason h Forwmd s mtusal to accept the waste a basad an weather or other We cd tod uv Forward that Forward W Deposer when a,te- Q weather or other site GwWcre,Fdrwao shad notdy Ina Dtapoear when Ale L caddans are expected t0 change such that Forward was be ante to acce¢r co d,ons we egoaeed to change ch Vo Forward will be ante 10 de waste SLUDGE �tmu + Be waste ❑SLUDGE ` REMARKS - ❑�� REMARKS ❑�S-� FAcury TICK -mumBEjr--� / / ❑WOOD FACILITY 71 UMC r ❑WOOD SIGNAT}iI�E OFfHgRIZETI�GEIdT.1 1ASH SIGNI�TGRE�/I�JT}�ORRD AGITTE ❑ASH �_ !�f — f * .f OTHER ❑OTHER SCHEDULING MUST BE MADE PRIOR TO 406 PM THE DAY PRIOR TO EXPECTED ARRIVAL ANY UNSCHEDULED LOADS ARE I SCHEDULING MUST BE MADE PRIOR TO 4 00 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(204)982 4288 MANIFEST s 53076 TO SCHEDULE CALL(209(982-4298 MANIFEST r 53075 GENERATOR COPY GENERATOR COPY