ARCHIVED REPORTS_XR0009801 - Laserfiche WebLink

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Elbm m :ti^ �b+T. rT;s',.RT�{"sU 'P"�n.,,3�t+�':^a,xfi�l7`�'F'7�Y.IYIriNIrFE�7T cc �ws- ��\, .. -�� FORWARD - �- =--NoN-wIZAADOus IRAs �R' �4 RD 4 - 7- NON-�IAZARDOUS WASTE MANIFEST _i� VOSTE TREATMENT AND DISPOSAL FACILITY -� I N C O R P O R A 7 E ID - WASTE TREATMENT AND DISPOSAL FAC1I 1TY JOB ACCEPTANCE NO. L - 1 N C O R P JOB ACC r - � � JOBACCEP'FANCENO. � .XxU)NXXtX%ST t JAMES H LANGSTON' ❑GLOVES ❑GOGGLES❑RESPIRATOR []HARDHAT — A EANrSTAN ❑GLOVES ❑GOGGLES❑RESPIRATOR pNARDHA7 []TYAMK ❑OTHER - []TY-VEK []OTHER T'.0 BOX 97 SPECIAL KU40UNG PROCEDURES. P 0 -"B X 97 SPECIAL HANDLING PROCEDURES LATHROP CA 95330 JfI7i LA A PCA 95330 PttON 209-957-5981 209-957-5981 JAN HEIRICKSOW + _JAN HEIR CIS �,TYPER,Z2gjr_4{"cff:i." EMI'K3FAC�IJ�Y„ i-t:kc�%+y,.�.- —��d',:�- WASTE r.�:....� _ ' 1� •.�.��'•—`_ __ -� F�CECV9�iFACWTY_-.4Yr��ti�_'_-.�,u:ii - -_� ❑ SLUDGE ❑ SLUDGE ❑ TREATMENT SOIL ❑NON FRIABLE ASBESTOS FORWARD INC LANDFILL p TREATMENT SOIL ❑ NON FRIABLE ASBESTOS FORWARD INC LANDFILL • ❑ DISPOSAL SOL ❑WOOD 9999 SOUTH AUSTIN ROAD ❑ DISPOSAL SOL p WOOD ❑ CMISTRUCTIONSM ❑ ASH ❑ CONSTRUCNSOIL ❑ ASH 9999 SOUTH AUSTIN ROAD IIO 6zOTHER MANTECA,CALIFORNIA 95336 • 5�MHER MANTECA,CALIFORNIA 95336 GENERATINGFACILFrY _ (209)982-4298 PHONE GENERATING FACILITY (209)982-4298 PHONE LA IGSTOW S BAIT E TACKLE (209)982-1009 FAX LA,lGSTO'I'S BAIT E TAC;I^ 13515 SEVENTrI ST 15515 SEVEdTH S7 (209)982-1009 FAX LATH900, CA LATHPOP, CA NAME, _ '—„- _-= _�.� ,NC1rES _ tiw _-TRUCK NUMBER NAME _ - - N NO7E5 TRUCK NUMBER ADDRICH-4AMILTOR TRUCKIP'G - 9��s�7 C�L` 7 5� RICH HA'IILTO" lctUCKING - %r A, /t'a!a�� r�U R,3oF PALL_T.3E AVE _ LOAD Al ADOAESS I _ IVF�� crrvsTATE.ZIP Grv�TEZPPSLLINE AVE LOAD 41 JODESTO, CA 95353 49DESTO, CA 95352 • PHONE END DUMP _ BOTTOM DUMP TRANSFER PHONE END DUMP - BOTTOM DUMP TRANSFER 203-578-4100 QK 0 11 279-578-4300 a p 0 SIGNATURE OF AUTHORIZED AGEhfFUja DRIVER DATE ROLL-0FF{S) FLAT-BED VAN DRUMS SIGNATURE OF AUTHORIZED AGENT OR DRNE!I- DATE ROLL-OFF(S)_ FLAT-BED_ VAN,_ DRUMS CUBO YARDS r�� CUBIC YARDS-.. FORWARD INC LANDFILL �, _ FORWARD INC LANDFILL Forward WW have no ch(gatron to&=eol the waste g weather or other 1 � condrtrone anparr the safe ard akecbw deposal of the waste or d the waste Forward sfua kava no adgawn m arreW the wash It or It r e other wpm the ads and eflechve operaWn d the L�tl Forward Null use ��'�METHOD:, {f0 BE COMPLETED BY FORINAR01 cora s the arwa the Bah ane aoperalftectrye of the of the wash or Y the wash DISPO.SALMETHOCT .{TO BE COMPLETED BY FORy1pRD) »r' ''8J0 AERATE O�q fmWaa iha safe arid eNecave operation d the Lar,Mi4 Forward shat Lae rcaaonabta etkrts to promptk tY 0eposw of Its inehNN to accept err - ,._rte _ _ TCF-- rouonada erbrts to wompw notify Downer of Its nw*ty to accaW the ,.`.....�.1.s.r_-. B10 AERATE OTHiR waste for any mason,Y Fawud's Tofu:*Id accept the waste a based m SOL waste tor vv recon It Forward a retusat to bumpt the wash u bund m weather or other age eogrorss.Forward alml nA6 IM sw Dapowhen able ❑ ' weather a other age corrdNam Forward atma rorty the Deposer when ase ❑SOL d ' Gormulorm am arrpeWd to dwob such thet Forward w,Y he able b accept coriddrons we expected to Curga truth that FOnuard mU be able to bo:W the waste ❑SLUDGE +I the wastes Q SLUDGE e REMAF04S� - = "'�` C° _ � • REMARKS ❑ZiSTOS ❑NOEFFUJILE 5f05 FAC7LIT TICKS NDMBER L•U, +��'��--- r FAClLffXj KETNUMBER �a •r-`�� ❑WOOD r� ❑YuOOD SK�hOCTURE�gF AtRRORt�EO I�GJTj _' T DATE SICh�ANRE pF AIfTNZt�4AC,E1 F�w Ou1L ' I r ']ASH - ❑ASH ❑OTHER SCHEDULDOG-MUST BE MADE PRIOR TO 440 P M THE DAY PRIOR TO EXPECTED ARRIVAL a ANY 4WSCHEOULED LOADS ARE SCHEDULING MUST BE MADE PRIOR TO 440 P M THE DAY PRIOR TO EXPECTED ARRIVAL•ANY UNSCHEDULED LOADS ARE SU JECT CALL[09992-4 REFUSAL TO ARWAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE Y B F RE SUBJECT REFUSAL UPON ARRIVAL RR pL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WTTN THE LANDFILL THE DAY BEFORE MANIFEST f 54002 SCHEDULE CALL /� [/MANIFEST 0 54001 TRAN9Poff"00" — ------- ryG-(, ' , LS