ARCHIVED REPORTS_XR0009801 - Laserfiche WebLink

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>_ �� 1• � t� !� DIS �� J FORWARD NON-HAZARDOUS WASTE MANIFEST � r 'N C O R P O R A T E A WASTE TREATMENT AND DISPOSAL FACILITY CCE C D JOB ACCEPTANCE NO cMH` aanz GENERATOR REQUIRED PERSONAL PROTECTIVE EDUPMENT -ex '•• " "wr rfi=i ° ❑G ©GOGGLES❑RESPIRATOR- ❑HARD HATApt cc r Ll- tUr: I ❑GLOVES ❑GOGGLES❑RESPIRATOR ❑HARD HAT f MAILING ADDRESS ❑TYVEK []OTHER r. t+r,+ +{} P O do) 7 SPE CWL HANDLING PROCEDURES SPE WWD PROGET)URE_3 y � �Y gpTE,ZIP • -�tiAR -4. i `` L1 THP17v' Ci QF==" . PHONE - _ ~ CONTACT PERSON JAN HFNRTMfflN____ JAI HE 'PICT Sp' SIGNATUREpyYi'FENT DATE RECEIV9+IC FACILITY ❑ SLUDGE ❑ SLUDGE ❑ TREATMENT SOIL ❑NON FRIABLE ASBESTOS FORWARD INC LANDFILL ❑ TREATMENT SOIL ❑NON FROZL.E ASBESTOS FORWARD INC LANDFILL ❑ DISPOSAL SOIL ❑ WOOD • ❑ DISPOSAL SOIL ❑ WOOD ❑ CONSTRUCTION SOIL ❑ASH 9999 SOUTH AUSTIN ROAD D CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD OTHER ®;orHER MANTECA CALIFORNIA 95336 MANTECA,CALIFORNIA 95336 . • cam + -=_�. � � -_ �r- (209) 982-4298 PHONE GENERATING FACILITY (209)982-4298 PHONE LANcsprN's BAIT E TACKLE (209)982-1009 FAX -�"`- ' ' Y ' (209)982-1009 FAX 15615 SEVENTH ST - - LATHAOP CA rTHujp 7 _ NAME NOTES TRUCK NUMBER RICH HAKILTON�TR-)CKING Y� q� 3}�� 7 -_^�-1 1 Tn c_� AM i":•= iy' �.F "'f' ILO ADDRESS L T1336 PAULINE AVE LOAD 059 -- - - - `�- � •C7L�' ^* te r" -CITY STATE ZIP ^ MODESTO CA 95358 1I N } 5 _-F ..c -w �-- -.. Z -c-; 1 END DUMP BOTTOM DUMP TRANSFER PHONE -. „r'.:,c e _ -r T�'�` END pJLu�=7 A 80TTCTML DUMP.:-_TRANSFER F130NE - 209-578-4100�- r_ GLC ❑ _ - 1 -' _ �4 =,t S © ❑ ❑ SIC,NpZL�jIflF AU7!{pRfZm AGEOFL _ AT THO[ -0FF{S�F', rrFCAf sED WWW DRUMS,F SIGNATURE pF AUTHORIZED AGENT oR DRIVER DATE ROLL OFFfs1 FLAT BED VAN DRUMS ❑ ❑ ❑ ❑a * --�—� .-- ❑ ❑ ❑ ❑ FORWARD INC LANDFILL •`` ` FORWARD INC LANDFILL CUBIC YARDS 1 '� Forward tithes ttaN no obGpabon b accept IM waste a weather or other Forward shall have no odipanon to accept the waste If wealhor a oiler v Cora+buhs erpa,r the sate and Oect,ve disposal of the waste or d the waste cor . uroa><the sale end etlh:c[rve d,sposai of ills waste w d the waste DISPOSAL METHOD (TO BE COMPLETED BY FORMkRDI am"the sale and eHedn+operation of the Lerdap Forward ane¢we DI �� BECAf�AP�LETE�BY O I rehpa rs the aaie end enact"operation of the Larar a Forwxa Shan use teasonade ah"b pronhpty nobly Disposer d Its WWAty b scup the reasonatle efforts to promptly notify Disposer o1 ns in"lly to acrrpt the POSE B10 AERATE SrOCOU OTHER waste for any reason If Forward's refusal is accept the waste a fused on waste fa arty reason If Forward s relwal to accept the wase Is eased on .rea"r or otter ate Condemns Forward shall noby the Disposer when site ❑SOIL weather or other site conda+Ons Forward shall notify the Deposer when silocOndi [I SOIL he cordAxom are expected b&Ange moth Nat Forward wO be able to accept the w are expected to change such that Forward will De ode ro accept waste • fro waste [)SLUDGE + REMARKS D SLUDGE NON❑ ASBESTOS O � ❑AS9ESMS FACILITY T f UMBER ❑WOOD ~� ❑N�QD SIGNATfJF O�Uf l�Rl7_ED AGS DATE �/ 1 _ ❑ASH ASH _l r r �~� ER �{ SCHEDULNG MUS[$ElAADE PRIOR TO 4:00 P.M THE DAY PRIOR TO EJLPECTED ARRIYAL•ANY UNSCHEDULED LOADS ARE SCHEDULING MUST BE 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 FAUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE SUBJECT TO REFUSAL UPON 2ONGDING DAILY DEWERIES MUST BE SCHEDULED VpTH THE LANDFILL THE DAY BEFORE To SCHEDULE CALL(209)982-4299 MANIFEST 0 54059 TO SCHEDULE CALL 1200)982-429MANIFEST+ 54060 ncucua�rw rrwv T0&"emmrcoryWv _ _