ARCHIVED REPORTS_XR0009801 - Laserfiche WebLink

Home Browse Search

limb =11 RWARD NONHAZARDOUS WASTE MANIFEST 'FORWARD NON-HAZARDOUS WASTE MANIFEST I N C O R P O R A T E D WASTE TREATMENT AND DISPOSAL FACIUTY � INCORPORATED WASTE TREATMENT ADISPOSAL FACILITY JOB ACCEPTANCE NO. r JOB ACCEPTANCE NO J Ak MES H_ LANG 5T 0 N a1 ONEa OOGG EB RESPIRATIDR HARD HAT JAMES M L A NG S TO N GLOVES GOGGLES REBP TOR HARD FU1T ❑TYVEK []OTHER ❑TlVEK ❑OTHER P 0 -BOX-97 _ P 0 BOX 97 5PECLALHANDLING PROCEDURES - -a SPECIAL HANDLING PROCEDURES �gTp��"�' «r� �ATTROP, CA 9530 LATHROP� CA 95330 Fvpga `� `' "y ' ` 209-957-5_9Bl 209-957-5981"^ r -- " Y �-,- • tTtTt��iC3,eis OOFfDIC .r- Wurh _JAM tIENRICKSOt7 JAN HENRTCY50N -;MCI,�(AGEffr// -7 T1TL , �l[TE'F P[.�� OF y^f 7�T�iEw 7 OKYE YOHM TYPE _, RE[EMkIC FAC0.Rl/ _ I�AST'E T _ _ _ RECEIVING FACIILITY , ❑ SLUDGE ❑SLUDGE ❑TREATMENT SOIL ❑NON-FRIABLE ASBESTOS FORWARD INC LANDFILL ❑ TREATMENT SO4L ❑NON FRIABLE ASBESTOS FORWARD INC LANDFILL ❑ DISPOSAL$PL © WOOD 9999 SOUTH AUSTIN ROAD � ❑ DISPOSAL SOIL ❑WOOD 9999 SOUTH AUSTIN ROAD ❑CONSTRUCTION SOL ❑ ASH ❑CONSTRUCTION SOIL ❑ASH ❑oTHER ST`1CYPT_-c MANTECA,CALIFORNIA 95336 ❑OTHER sT1iCX°7_L-c MANTECA,CALIFORNIA 95336 • GENERATwGFACum (209)982-4298 PHONE LAVGENERATING FACILITY {209)982-4298 PHONE La,I,3T) IIA ;, _T � TAC,L- !5_i.~iTSEliF as£T T,'-,LE y r1S c-,r v x5"15 s=>r�llr-� �T (209}982-1009 FAX _ E ,T 1 sr (209)9$2-1009 FAX L3TNROP, CA L,THROD, CA NAME NOTES TRUCK NUMBER NAME NOTES, TRUCK NUMBER �.0 HA4ILTA-1 TRIIC,r Iia /11[ � CA f J�-y� 1ICA �A IILT ' T IIJG.?i!G C 31 X87 t /I `f" ADDRESS � J� 9 f `� ADDRESS h A x171_ .r y,rc L i�' � �.a 1 � R ,rILT_ !E .1�ri: II V ��24n .CITY STATE,QIP - .CRY STATE IIP ,=J5f' TI�/�-�.T' srl'I_�T^, ' 95353 • PHONE END DUMP BOTTOM DUMP TRANSFER PHONE END DUMP BOTTOM DUMP TRANSFER t ❑{ ❑ ❑ 1111-m77 5-.'11 v" D� ❑ ❑ SIGNATURE�F AUTHORIZED AGET�I'OR ORIF DATE ROLL-OFF(S) FLAT BED VAN DRUMS SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL©(S) FLAT BED © DRQ ❑ ❑ ❑ ❑ ylr � 1 ZZ FORWARD INC LANDFILL `'"B'C YARDS FORWARD INC LANDFILL CUBIC YARDS Forwardahatl have no adgauon 10 acted the waste d Weather or attrer / Forward shall have no obbWWn to acUPI the waste If weather a other twflddKm amass'ora sale and effective d,0ml d the waste a M sea waste DISPO.vAL METHOD (TO BE COMPLETED BY FORWARD) "pan d,*nate the site and elective dr of the of r dl fOf W d the waste DISPOSAL METHOD {Tp BE COMPLETED BY FORWARD) a+paua the able and elteclela operation of the Landfill Forward thea use teas re the sale aw uT411a operator o the Lft vlp Farwaro shall use BIO JAERATEIS=0111 OTHER Tea www efforts to p wr#ly nooly Disposer d Its a+abilty to accept the BIO JAEPATE 5fOcaPaE OTHER wasmabre efforts m pon>aly nobly Ekstwser d as i*waste a acted ton rSPOSE waste Far any reason It Forward a refusal to Steed V*was*Is based on waste far anlr reason tl Forward s wfusal W acted ton waste rs beaetl an [3SOL weather or other sne wr Wo to Forward sons rotdy the Disposer waren site ❑SOIL weather or other site conddiona Forward ansa nphl ton Disposer when slit condnroru are sxpaUad to charge six h that Forward wap be able to accept cowliKm are expected to cherge such thel Forward wla he able to a=tpt the waste ❑SLUDGE e Ina waste ❑SLUDGE ' REMARKS `rw REMARKS ~ NON FRL& U ❑reE� ©ASM S os FACILMY-TICNI�MBER FAGlL1TY TICKET NUMBER Kt� ❑WAD - El WOOD � SIGNATUREC / SIGNATURE qF 14DZE&AG�NT GATE 1 r ❑ASH — J 7 �, ❑ASH HER - -- [}OTHER SCHEDULING MUST.Bfc MADE PMOR412 '- P M THE DAY PRIOR TO EXPECTED ARRIVAL a ANY UNSCHEDULED LOADS ARE SCHEDULING MUST-BE MADE PRIOR'170-4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL a ANY UNSCHEDULED WADS ARE SUBJECT TORMSAL UPON CALL(2 8 982 12A ONGOING DAILY DELIVERIES MUST III!SCHEDULED WITH THE LANDFILL THE DAY BEFORE IAH ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL 7QDAY BEFORE TO MANIFEST. 5309 TO SCHEDULE CALL(09)982-4298 MANIFEST 311,772 GENERATORCOPY GENERATORCOPY