ARCHIVED REPORTS_XR0009801 - Laserfiche WebLink

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� �� EI• EI• � � �1 � � �� � NON 0WAE MANEF -TfORWRD FORWARMO WASTE ` AND A �+ Aa UTY INCORPORATED ATE TREATMENT AND DISPOSAL FACILITY 1NCORPORATEA JOB ACCEPTANCE NO. JOB ACCEPTANCE N0. ualmum ❑GLOvE5 ❑GOGGLES❑RESPIRATOR ❑HARD HAT ' []GLOVES ❑GOGGLES❑RESPaLATOR ❑HARD NAT ❑TY-VEK- [I OTHER _ []TY-VEK []OTHER SPECIAL HANDLING PROCEDURES P 0 8 X 97 SpECLAL HANDLING PROCEDURES LATH OP A 95330 • PHO � �_ I 209-957-5981 JAIL HEJI D I!x JAN HENRI6KB i! OF r nA, sl_ tar �r RECEIVING FACILITY.- SLUDGE ACnJT.. �;3,:...L ._. VYASTT<Tl PE -tide- :- -:� Ise RECEMNCiTFAIULI�L �:S.-�.« ` .�_ .�� ❑sL.uDGE SLUDGE FORWARD INC LANDFILL El TREATMENT SCIL ❑NON-FRIABLE ASBESTOS FORWARD INC LANDFILL ❑ TREATMENT SOIL ❑NON FRIABLE ASBESTOS • ❑DISPOSAL SOIL ❑wow ❑ DISPOSAL SOIL © MOOD 9999 SOUTH AUSTIN ROAD ❑ CONSTRUCTION SOIL p ASH 9999 SOUTH AUSTIN ROAD ❑ CoNSTROCTIONSOIL ❑ ASH [R OTHER MANTECA,CALIFORNIA 95336 OTHER MANTECA,CALIFORNIA 95336 • GENERATING FACILITY (209)982-4298 PHONE GENERATINGFAC&M (209)982-4298 PHONE MI,STO'1'S SAIT E TACKLE (2pg}9$2-1009 FAX LArIG5TID'3 5AIT z TACKLE (209)982-1009 FAX 15615 SEVENTH ST 155:5 SEVE ITP ST LAT9ROP, CA L4T41RO� CA NAME _ _ NOTES»�-.-1 "T}lUCK NUMBER NAME _ _ _ _ _ _ _ __. N0T5-- - 'TRUCK NUMBER ADDRESS HA'IILTON TRUCCIr1G rap{ U wf _� C4 HAIIILTG'1 T9UCKIILG C�f3r13C/73~ ��y +336 OULI'IE AVE L9AD #12 r� 133$ P LINE AVE. L9� � .CITY STATE ZIP rh �J, • CITY-STATE It - +;7ESTD, CA 95358 if . rLrr QDESTO, Cd 95356 PHONE END BOTTOM DUMP_ TRANSFER PHONE END DUMP BOTTOM DUMP ITIANSFER r c ❑ ❑ 254-57?-410T3 SIG 2 r A ZED AGENT OR DRIVER JDATE RCLL-0FF1S1 FLAT BED VAN DRUMS SIGNATURE OF AUTHORI D AGENT OR DRNER DATE ROLL-OFF(S) FLAT BED VAN DRUMS ❑ ❑ ❑ ❑ `. j r I ❑ ❑ ❑ ❑ CUBIC YARDS _ CUBIC YARDS FORWARD INC LANDFILL - - �- FORWARD INC LANDFILL Fw"rd ahaa haw ro abow on to accept the wase II weatrter or otter Forward shwa hM oo obhpalton to accept the wase d weather W other eortddtom kraarr tins Sate and efteetrue deposal of ed waste or d the wasteta rs thDISPOSAL METHOD' {TO BE CAMPEFiED BY FORWARDI canddrons dnW the safe and B leotrra deposal of the rote or d 9*wase DISPOSAL METHOD {TO BE COMPLETED GY FORV'WARDI anpae safe and CH@c4w operatcn of Ce Landfill.Forward alas e .tea,s BIO AERATE 01FiER anpaas He safe am enact"operalon of ole LardhB For Ward SW Use `r- - - _BIO AERATE reasonaole efforta to promptly rtptdy Disposer of Its■tabMy to aCCepl de „r.,:u:a.ic,..,..« — _ reasonable of 3 to pronoV ropy Deposer at ds MbdrtY to accept the _•."- waste for arty reason.If Forward's wheat to accept tt*waste n based on waste br any realm I Forward s relusal to accept the was*a based on wealher or other ad*card bons.Forward tdy Forward" the L7aposar when ab [Ie SOIL weather or oder Site cow ua4 Froward sinal rtotdY se Deposer when W* ❑SQL Cort lb"are expected to dwige subh that Forward will be able lo accept COr4404 are expected lo chartpe Such that Forward wia W able W accept the waste ❑SLUDGE the waste _ ❑SLUDGE a z�.r�nrv�+^.-+�+T+t"w+'si7� r RELAARKS �w.--c---k.._-•-_�3.":-,�.-.^'r_�s�--�� REIuL4RICS_�yr �sY�s.s _- � �` a _mss_ _• NW FRIABLE ❑� nre'JC-r�fa�i^*r---+„ -e"^•• ASBESTOS FACILITY MgKETNUMBER' 'www ,�„=r:., FACILJTIYTICICETNUMBER�'---..�. L.-.-- ---=-s+� ©Wool) 0 WOOD SIGNAACJS O�RI7FD AGES„_ -"�DJ1 rJ. SIGNATUfiVbF AUhiOR¢ED AGEi � ,,�DATE, ASH ❑ASH �E ❑OTHER [3 OTHER SCHEDULING MUST BE MADE PRIOR TO 4.00 P LtTHE DAY PRIOR TO EXPECTED ARRFVAL a ANY UNSCHEDULED LOADS ARE SCHEDULING MOV BE MADE PRIDR TO 4 00 P M THE PRIOR TO EXPECTED ARRIVAL a ANY{INSCNHDULED 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 LJWDFILL'M DAY BEFORE TO SCHEDULE CALL 1209)082-4298 MANIFEST. 54011 TO SCHEDULE CALL 12091982-4208 MANIFEST- 54012 1 ,paWSPnpRFAr�av