ARCHIVED REPORTS_XR0009801 - Laserfiche WebLink

Home Browse Search

FORWARD a- ' I�WfiKL1_ NON-HAZARDOUS WASTE MANIFEST 1011',) NON-HAZARDOUS WASTE MANIFEST C O R P O R A T E D WASTE�mD WFOSA L Fes' INCORPORATED MAME TREATMENT AND DISPOSAL-FACLLITY JOB ACCEPTANCE NO. r Joe ACCEPTANCE NO. r,( JAMES N Ct &SrONLANGSTON GLOVES QOM ❑RESPIWI0R []HARD HAT JAMESyN LANGSTON []GLOVES ❑GOGGLES❑RESPIRATOR ❑HARD HAT MALLNG s []TY-VEK ❑OTHER P 0 SOX 97 P O BOX 97 C M2 R SPECIAL HANDLING PROCEDURES SPECIAL HANDLING PROCEDURES LATHROP CA 95330 • LATHROP CA 95330 209-957.5981 249-957-5981 D JAN NENR_ICCSO"I JAN HENRICKS011 _ _ _ SIG NADJ9E OF AUTHORL D- _{TRLE� DATE `°'�T - - p q 1 x4T' rg - FiT'!PE _ RECEMNGFAC0.LTK ...ice. wwE TYPE _ , __ _ - RECENM FAL— r_ p SLUDGE ❑ SLUDGE ❑TREATMENT SOIL p NON FRABLE ASBESTOS FORWARD INC LANDFILL ❑ TREATMENT SOI p NON FRIABLE ASBESTOS FORWARD INC LANDFILL ❑ DISPOSAL SOL ❑WOOD 9999 SOUTH AUSTIN ROAD • ❑DISPOSAL SOIL ❑WOOD ❑CONSTRUCTION SOIL E] ASH ❑ CONSTRUCTION SOIL p ASH 9999 SOUTH AUSTIN ROAD _ gOTHER MANTECA,CALIFORNIA 95336 OTHER MANTECA,CALIFORNIA 95336 GENERATING FACIIJN (209)982-4298 PHONE GENERATING FACILITY (209)982-4298 PHONE LArIGST9 I'b ser_s TAr+ Lc- _A :SOT O S ZI_T ° TAC<L= 15,12 SE 'T-L S! (209)982-1009 FAX 1=-1= S_'7= 'T- ST (209) 982-1009 FAX LANFIROD rA L A T h R 71, 0� NAME NOTES TRUCK NUMBER NAME NOTES' 11 TRUCK NUMBER ADDRESS HA,ITTO11 TDUC4INr ADDLE 4A F_TLTO"I TPUCK1413 c1G 313P7 _ _r U 133' '�ArILINE at1= LOA' - .CITY STATE ZIP 1-c OCULI E ti'f_ LOAD =75 a STATE,ZIP I V,�� S-5 PHONE END DUMP BOTTOM DUMP TRANSFER • PHONt'r=-T M• J f ,5 y S END DUMP BOTTOM DUMP TRANSFER -` _-' `'- 0 © ❑ R. © ❑ SIGNATUPE OF AUT�PIIZED AGENT OR DRIVER JDATE ROLL-OFFS) FLAT-BED VAN DRUMS SIGNATURE OF AUTHORIZED AG/ENT OR DRIVER DATE ROLL-0FF(s) FLAT-BED VAN DRUMS * (' ^ I t J�I r1' ❑ ❑ 13 11?F 5`9 11 ❑ ❑ FORWARD INC LANDFILL cue,c YARDS FORWARD INC LANDFILL cL>elcY�s Forward ahaa have no abrgate+n ro accept the Haar J Hoosier or other Forward shoo have no dblgatgn b accept the waste k weather or stir ` cDWd*m impar the isle ud Oledrve disposal al the waste or d bhe waste DISPOSAL METHOD cartddnM mrd sr the sale and liptovt deposal of w wore or h the waste wpars the sale and elfecM operation of the lard,$ Forward shed use (TO BE COMPLETED BY FORWARD) reasonable efbxts to peomptty nobly Disposer or ds nabdd to accept the SPOSE BIO AERATE OTHER erpaes the seta Ytd effecirm operibm of ft Landfill Forward"we DISPOSAL METHOEY fro BE COMPLETED BY FORVtp,RDJ waste for any reason If Forwards retusat to accept the wrist w baud on reasonaow Worts lo promptly nobly Disposer of its i<*My to socal»the � >OSE Bl0 AERATH OTHgR weather Gr other sda cordstom Forward*W notdy the Dapour when site OlL rasa Ior err%masom it Forward s refusal to accept ft waste a based an conddGns are expected to change such that Forward wit De able to accept westhe,or other ale eardeo u forward shat)notdy UN Deposer wtw ww the waste b SLUDGE cordxae art expected to change*Leh that Forward wll he able to accept ` REMARKS • da Hasa SLUDGE NON FR"LE REMARKS ❑s10N-FRIABLE FACILITY FfGAET NI,I�LBL R / ! A59E5T05 fACGJTY K` NUI�66ER, n r ASSESIOS / 7 ❑WOOD r r� ❑WOOD SIGP AT}7RFyOKAUTHORLZZU AGENT r 1 DATE SbG�JIyTU IE /fUTHOFjLZED AGEN� DATE G-� ❑ASH ASH OTHER ©OTHER SCHEDULING MUST BE MADE PRIOR TO 4:VD P M THE DAY PRIOR TO EXPECTED ARRIVAL a ANY UNSCHEDULED LOADS ARE SCHEDULING MUST BE MADE PRIOR TO 4 OD PJA THE DAY PRIOR TO EXPECTED ARRIVAL•ANY UNSCHEDULED LOADS ARE SUBJECT TO REFUSAL UPON ARRIVAL ONGbtNG DAILY DELIVERIES MUST BE SCHEDULED MTH THE LANDFILL THE DAY BEFORE SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE TO SCHEDULE GALL f 200)082 4288 MANIFEST• 54076 TO SCHEDULE CALL(200)982 4298 MANIFEST N 54075 GENERATOR COPY GENERATOR COPY