ARCHIVED REPORTS_XR0009801 - Laserfiche WebLink

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rata. �. ..� T� � � � I_ _•_ TES . riNDN- Z3CkS'+ WASt7E MANIFEST 1011iR INCORPORATED TE TREATMENAND DISPOSAL FACLITY -` .r o� M ��'S� 4�NONH'AZAIR_D"'O^'U�S I lmmkS: T T N C O R FA RTE D` . VOSTE TREATMENT AND DISPdM F=L1TY a, JOB ACCEPTANCE k' ' f _ r iIDB ACCEPTANCE N0. - rte, JAM S jj LANnRTnN ❑GLOVES ❑GOGGLES❑RESPIRATOR [I HARD HAT ❑T -VEX ❑OTHEA ( ❑GLOVES ❑GOGGLES❑RESPIRATOR ❑HARD HAT `!I ❑TYVEK ❑07FlER P a x 97 SPECIAL HANDLING PROCEDURES LATHROP A 9 SPECIAL HANDLING PROCEDURES _209-957-5981 �NJAN HENRICLKa t! SIG NA?VREOF�ZE�At. VOSM TYPE.A-T�t-F ..y..y.�::M-"�s��[+1"S� EPNAWG F_ :+'c ..Li1-1 fir. ❑ SLUDGE ❑ TREATMENT SOIL ❑NON FRIABLE ASBESTOS FORWARD INC LANDFILL ❑ SLUDGE ❑ DISPOSAL SOILTREATMENT SOIL [] NON FRIABLE ASBESTOS FORWARD INC LANDFILL [I CONSTRUCTION SOIL p ASH 9999 (39999 SOUTH AUSTIN ROAD ' ❑ DISPOSAL SOL ❑ '""°OD 9999 SOUTH AUSTIN ROAD [ °TREK MANTECA,CALIFORNIA 95336 ❑ caNSTAucnON soy HER MANTECA,CALIFORNIA 95336 GENERAmNGFAOILITY 209 982-4298 PHONI= GENERATING FACILITY_ (209 982-4298 PHONE LANG870;' S 3AIT 8 TACKLE - 15315 SEVE'tTu ST (209)982-1009 FAX ILA IGSTOIt'S Br,TT 5 TACKLE LT`+ROPK, CA 13615 SEVENTH ST {209)982-1009 FAX . LAT'IROP, CA NAME TRUCK NUMBER NAME _ _NOTES TRUCK NUMBER ADORES', HiMILTDH`79UCKI"G - "_ _�`� �fj�/3�'f3 �� "ICH HAMILTWI TRUC UllS fir ' _C 1 =- c�� ADDRESS- _ 1-33 DAULIFIE AVE. _ LOAD 429 132u PAULT9� AVE -CITY STATE,ZIP +�3� CITY STATE ZIP PHONEL A D D a 3 0 Dc5T0, CA 95359 END DUMP BOTTOM DUMP TRANSFER 00DESTO, CA 95358 ❑ © PHONE END DUMP BOTTOM DUMP TRANSFER SIGNA& OF AUIHOR�O AGENT DRNER DATF - ROLL-OFF(S� _ FLAT-BED VAN DRUMS '^P-578-4 ar Ek ❑ ❑ r - - SIGNATURE OF ORIZE AGENT OR DRNER DATE _RO_LL-0_FFiS) _ FLAT BED VAN DRUMS J FORWARD INC LANDFILL CUBIC_YARDS___,__ FORWARD INC LANDFILL -�- ForwaN sw have no ahl'gabon to WCM the waste d weather of other I Forward Ahad have no oblrpaim to accept the waste N weather a otherCondI Y� mw orth eroas the ssh arm afleCilmowali loofah of the waste or A shall waste OSAL�METHOD•r'UO BE COMPLETED BY FORAWD) corditore moa+the safe and affearra detpoaal a the waste or d ex waste vrvan the soh aro.trace..oparattm a the tJrdfdl Forward alae Ise ',,#,' DISPOSAL METHOD, (TO BE COMPLETED BY FORWD) reasonaf*etloru to pvnpdy notify Dssposer of its Inability to accew the _ r_ SPOSE Bk7 AERATE slo0— enpm the sale and efled"operation of the Landl�a Forward Used tua waste for arty ream If Forwards rehuel to ecoept the waste is based on x R reason"ell"to pvmotH rw*DW;oaer d da nawy to accept the ,'.i`1-��' _ &O AERATE - _ OTHERweather a other see condseorm Forward shall notdy the Disposer when site ❑SOIL waste for ary reasm,If Forward a raft"to accept the waste is based m -- cordWra ars ovecled to aianps sacs that Forward wdl be ante b accept weather or other ads cormomns Forward shag to*the Disposer wren site ❑SOIL the waseSLUDGE , CoMik ns are aVeasd to change ash that Forward wil be able le accept REMARKS M.w.- may, 7� �i� a ❑ the waste. —Ar„ _ ❑SLUDGE -.--r ,.a-'- - ❑!qN-FRutBLE ! REMARKS_-_-. —, �: 'r-"' n0e1FRwBIE FACILlrY71CKETMILABER�"" s�< 't...-.,, .._ .Ia-3a:+-a±� ASBESTOS I{J FACILfTYTICKETNUMBER � ❑ASBESTOS _ _ ❑WOOD '-�- ❑ SIGNATURE- AG - ? ATEy SIGNATURE-05 AUTHORIZED ��_ DALE r wow ASH I i' Y.� ❑ASH Z1NINE L�� q � �� OTHER SCHEODUN6'M(JST BE►iLAOE PRIOR TO 400 P.M THE DAY PRIOR TO EXPECTED ARRIVAL•ANY UNSCHEDULED LOADS ARE SCHEDULING MUST-SE 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 t3EFORE TO SCHEDULE CALL 1209)982-4208 MANIFEST. 54029 TO SCHEDULE CALL(209)982-4298 MANIFEST s 54030 TRAURPi"W"R rAWV