ARCHIVED REPORTS_XR0009801 - Laserfiche WebLink

Home Browse Search

� � W � � !• MI mole !♦ ) FORWARD NON-HAZARDOUS WASTE MANIFEST `INCORPORATED VOSTE TREATMENT AND DISPOSAL.FACILITY NONHAZARDOUS WASTE MANIFEST l INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY JOB ACCEPTANCE NO. JOB ACCEPTANCE NO. A S []GLOVES ❑GOGGLES❑RESPIRATO3R ❑HARD HAT pTYVEK ❑DRIER FI❑GLOVES ❑GOGGLES RESPRATDR ❑HARD HAT P 0 BOX 97 ❑TYVEK ❑OTHER SPECIAL HANDLING PROCEDURES, P_,p 4 7 L A 7H R P CA 95 30 j — - SPECIAL HANDLING PROCEDURES P CA 95130 209-957-5981 CAN94TLTPE}TSOlf _ 204_957-598 JAN ' IICKSON �PERSti '� SIGNATURE µ'Y - pp7E,`e "" SIGMA1l1REA'� H E} I,F S S 0 N fi RECE NING FACILILY i ❑ SLUDGE - ❑ TREATMENT SOIL ❑NON-FRIABLE ASBESTOS FORWARD INC LANDFILL ❑ SLUDGE - ❑DLSPOSAL SOIL ❑WOOD ❑ TAEATMENT SOfL p NON FRIABLE ASBESTOS FORWARD INC LANDFILL ❑ CONSTRUCTION SOIL p ASN 9999 SOUTH AUSTIN ROAD ❑DISPOSAL SOIL ❑ WOOD MANTECA,CALIFORNIA 95336 &CITHER ❑ coNSTRucrioN sol_ ❑ ASH 9999 SOUTH AUSTIN ROAD i GENERATINGFACARGENERATING FACILITY >�roT>-TER Y (209)982-4298 PHONE MANTECA,CALIFORNIA 95336 I (209)982-4298 PHONE 15 , � = TAIT s Tac;L= - L. I,ZT1 -93 R _-r 131'' S--�raT� ST �209)982 1009 FAX LeT4Rr,P CA , -1, 7_ _- T i ;T (209)982-1009 FAX LATwrI'j; C NAME NOTES TRUCK NUMBER SIV tl I:LTV TRLtC'='IG .t NAME IC TT T i I, NOTES , ADDRESS *'2rY t)�L S u T u 1 - ,r_ D f,1 s- 7 TRUCK NUMBER 1 ADDRESS 9� 3 J 3�' aTYs a3E SPP`J LI IE 4. +{t fl] oro t y&L11 _Z } 4 l CITY STATE ZIP PHONE 1 V �y END DUMP BOTTOM DUMP TRANSFER PHONE t -2 a ❑ ❑ FE DUMAP BOTTOM DUMP TRANSFER SIGNAT OF A&_OF`iIZEO AGENT QRDRIVER DATE ROLL-OFF{S? FLAT BED VAN DRuiuls - " ❑ ❑ ❑ ❑ ❑ ❑ SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATEOFF($) FLAT BED VAN DRUMS FORWARD INC LANDFILL CUBIC YARDS " FORWARD INC LANDFILL CUBIC shall have noabhgalrcn to Scud VIS wage A weatlw a Other CMCMK a atom de Sale and*Elect"dopoaal of fly waste w a sy waste DISPOSAL MET►10a Forward Shell haw no oopaton to accept elm wasne d meatier or Omer •npeaS tr!caro and aftecbM pparabon Of me L WKMA Froward Shap uee LTO BE COMPLETED BY FORVIiARD) canddorts impair the sale and ebeelwe drsoosel of the wave w d me wssu DISPOSAL METHOD (TO BE COMPLETED BY FORWARD) reasonable elforpta Id ompty mta novy 01w"m at Its eldy lo aceepl the BIO AERATE OTHER aroaes the 61114 and effort"omawn of ft l."ILD Forward areae us& waste for any reason I Forward a reluat 10 accept Uy waste is basso on reasonable etforts fp prowy rally DL%Mer of as amt lay to accept the SPOSE ENO AERATE OTHER weather w cow tete Conddrdrm.Forward Sime nobly ttm D"Osar when able L waste for any reason If Forward s retusat to accept the waste a based cn &60c— the are agmted Io Chmtpe N1St ch 0Forward vM W able to accept weafhef or other site Condnons Forward Shap nobly the 0gpoaer when ine the waste ©SLUDGE cdndlixM are eapecled to VWW ouch that Forward non be able lo accept REMARKS me waste ❑SLUDGE NON-FRPWn ❑ASBESTOS a REMARKS FNON FRIAOtE A ANY ET MB _ iE 1 _ / ❑WOOD FACRITIGTICKET NUKBER ©ASaESMS JIEfFHOW r ❑WOOD SIGnwTUIRE QF ZFJFfAGE,Aff f DACE ❑ASH SKIAATURE�AUTFj6RIZEDyAGENT DATE f Cl t _ 0 ASH f-I©OTHER * I '.� �� t L �� l-/,� ❑OTHER SCHEDULING MUST MADE PRIOR 70 4 00'P M THE PRIOR TO EXPECTED ARRIVAL•ANY UNSCHEDULED LOADS ARE SCHEDULING MUST BE MADE PRIOR-TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL a ANY UNSCHEDULED LOADS ARE SUBJECT TO REFUSALL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE TO SCHEDULE CALL f 209)48$-4288 SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE � MANIFEST w 5 4 O 6� TO SCHEDULE GALL(200)9B2 e28B GENERATOR COPY MANIFEST■ 54066 GENERATOR COPY