ARCHIVED REPORTS_XR0009801 - Laserfiche WebLink

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AWARD1 N C o R P'O R'�it36 „ =wuzRrlrrMIDDtSPOSALFAITY� MON-HAZARDOUS WASTE MANIFEST r j(- "-;'A0 +t-w rehyrJ ri l 3' - •ift, •s 3 WASTE TREATMENT AND DISPOSAL FACILITY ` SL -x )INORPORATED - J06 CEPTANCE N0. � . . y a,� JOB ACCEPTANCE N0. NEW -- ❑GLOVES QGOGGLES QRESPIRATOR []HARDHAT []TY-VEK-❑OTHER - , W#- []GLOVES []GOGGLES[]RESPIRATOR ❑HARD HAT sPECIALwwD[RJQPRDCEDURES -- ❑TVVEK poTHER SPECIAL HANDLING PROCEDURES • L ItRUP° 95 209-957-5981 S OFI� CONULT PEF@ N..b .fAflt1DRI tCSO'fSIG _/TkiTE s' z" - T to bl OF YAM TYF�.�.? _%w'='T , RecFmfJf� Y3.71 n' € � .r!�'�5 � 'k VOS E TYPE _ - _ RECENING FACILITY ❑SLUDGE I ❑ TREATMENT saL ❑NON FRIABLE ASBESTOS FORWARD INC LANDFILL ❑ SLUDGE • ❑DISPOSAL SOL ❑ WOOD ❑ TREATMENT SOIL ❑NON FRIABLE ASBESTOS FORWARD INC LANDFILL p CONSTRUCTION SOIL QUASH 9999 SOUTH AUSTIN ROAD ❑DISPOSAL SOIL ❑wow 9999 SOUTH AUSTIN ROAD C&°TMER MANTECA,CALIFORNIA 95336 ❑CONSTRUCTION p ASH OTHER MANTECA,CALIFORNIA 95336 GENERATING FACILITY (209)982-4298 PHONE LANGSTON'S. BAIT b TACKLE 209)982-1009 FAX GENERATING FACILITY (209)982-429$PHONE SEVENTH ST ( �A'I T^ 'i Ni't TtiC.L- LATHROP, CA 15ol- ;_ 5 ,T I �T (209)982-1009 FAX LITH16d, C; NAME NOTE&__ UMBE NR NAME NOTES TRUCK NUMBER NADDRRESSH HAHIL[Ort TRUCKIflG _ �,iy3C�+T3 (meq �if,�+'—��v =,I (rZ�� 1335 PAULI89 AVE LOAD 445 ADDRESS CITY STATE ZIP ' � 1 r—�� r �5I'� S,I-<« Sl 's MODESTD CA 95353 ��A &X 7 CITY STATE,ZIP • PHONE END DUMP BOTTOM DUMP TRANSFER -wY r `V '�-1 7 209-575-4100 R 13 13 PHONE r END DUMP BOTTOM DUMP TRANSFER SIGNATURECAFAUTHORImcD,AGENfOR R DATE ROLLOFF{St FLATBED VAN DRUMS — "" - `,� ❑ ❑ ❑ ❑ ❑ © ❑ SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-MIS) FLAT BED VAN DRUMS �> > * ❑ ❑ ❑ FORWARD INC LANDFILL CUBIC YAPos cuBlc YARDS FORWARD INC LANDFILL Froward shall have no obhQatun b accept the waste d weather or olmr I (. rxrditpru wow the safe and eflech"deposal of the wash or f the waste DISPOSAL METHOD' BE COMPLETED 8Y FORWARD) Forward shall have no obgaWn to accept the waste d weather or other no ws the sale onto eflectwe operation of the Landfall Forward shoo wa (T condd*M ancL a the sale and eftectrve deposal Of the waste a d the waste DISPOM METHOD (TO BE COMPLETED BY FORWARD) masonAM atb1a to prornoy nobly Dnpasar of As vmWrty So accept the BIO AFAATE c Of HER mpam the safe and NleCtw operabon of the Lw4A Forward shall Use J � wash kr ary reason.If Forward's rahnal to accept the waste w Lased d1 _T — — -- reaso+tabb efforts W promptly nOhty DAPDw of ds Wbl�ty to accept the % SFOSE Do �� OTHER weather or other life coredrhans.Forward Mea to*ft Disposer waren tufa L waste far arty reason If Forward s refusal to accept the waste u basad on zord boo are typaeted to UarW much that Forward wYl be able W weather or ower arta condfrons Forward Mab noWy the D"aser when sea� ❑SOIL • uv wageSLUDGE the wwiora ast�ora esoetxetl to charge auot that Fward wet 00at>a to ecce ©SLUDGE REMARKS1.� _ - .4_ ❑ 6 REMARKS _.__...� ❑ASBESTOS FAGILRY TICKET NUMBER s e _ c =�. ❑WOOD FACILITY TICKET NU1 S7Ghf OF _ PATE_- L ` ❑ D DAG ©ASH SIGNORE OUMORIZEDIAGEtJF/ f �'Dgif !! p ASH p OTHER 7k W - f` 1 � ~'s ❑OTHER SUBB.IECT TO REFUSAL UPON ARRIVAL ONGDUUNG MUST BE MADE PPJOA TO OING DAILY DELIVERIESMUSTMOR TUST BE CIEtEDARRIVAL WITH THE DLANDFILL'nig DAYNSCHEDULED LOADS EFORE SCHEDULING MUST BE MADE PRIOR TO 4-00 P M THE DAY PiitOR TD EXPECTED ARRIVAL a ANY UNSCHEOULEO LOADS ARE TO SCHEDULE CALL(21301962.42.96SUBJECT TO REFUSAL SCHEDULE CALL 1 PON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE MANIFEST ► MANIFEST a 54046 TRANSPORTER COPY _ _ .,. GENERATOR COPY