ARCHIVED REPORTS_XR0009801 - Laserfiche WebLink

Home Browse Search

} _ ORWAIW _ NON-HAZARDOUS WASTE MANIFEST I N C O R P O R A T E D WASTE TREATMENT AM DISPOSAL FACILITY FORWARD NON-HAZARDOUS WASTE MANIFEST JOB ACCEPTANCE NO. INCORPORATED W45M TREATMENT AND DISPOSAL FACILITY JOB ACCEPTANCE NO CMM— 4402 - JAMES M LANGSTON ❑GLOVES [3GOGGLES❑RESPI ITOR ❑HARDHAT []TY-VEK []OTHER GENERATOR y _ _ _- _ REOeproC�IA fFOMCENEEnLWMENT JAMES t LAIJGSTpI' -- [:]GLOVES []GOGGLES[:)RESPIRATOR ❑HARD HAT P 0 BOX 97 SPECIAL HANDLING PROCEDURES tftm- MABJFlGADDRESS_r,. v_ �_y _wluu- .1�= ❑TYVEK []OTHER . LAT4ROo, CA 95330 CITYPSIXTE Ze X a 7 , -_ t_rte L -_x r -• SPECIAL HANDLING PROCEDURES �� �. �' =I 209-957-5982 LATHROP, CA S5,3G ` _HENPICKSON 204-957-5951 SIGMA OFjl;T4OFFz — . DURE'g= CONTACT PERSON!-'I rE.CI F':NR_TCKSON 7)C /�`g, a7�-1]~ /SIGNqWM OF AUTHORE4ED AGENT r TITLE DATE - YVA.STE TYPE RECEJVm FACJL" • *'7/ ` ice+ /y77� �� 6 /�� .... _.. 'SLUDGE '.. VOSFE TYPE RECEIVING FACILITY' ❑ TREATMENT SOIL ❑NON FRFABLE ASBESTOS FORWARD INC LANDFILL ❑ SLUDGE ❑DISPOSAL SOL D wOOv 9999 SOUTH AUSTIN ROAD • ❑TREATMENT SOIL ❑NON FRIABLE ASBESTOS FORWARD INC LANDFILL ❑ CONSTRUCTION SOIL ❑ASH I] DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD BOTHER �`KP MANTECA,CALIFORNIA 95336 ❑ CONSTRUCTION SOIL ❑ ASH GENERATING FAOurtr (209)982-4298 PHONE . [ ;OTHER MANTECA,CALIFORNIA 95336 ST t 1'q t7,1-T 1 T,C;L= GENERATING FACILITY (209)982-4298 PHONE �z- �E vE 'T ST (209)982-1009 FAX _9' '--TOI 'S T!."' .E '5ciL SEVcr'TI- ST (209)982-1009 FAX NAME NOTES TRUCK NUMBER LAF-TROP, 04 RIC 1154TLTO-1 IGk � "C 21•d -� ADDRESS J NAME 8. �� TRUCK NUMBER A1_2;' )„ 'L l`I E A u C - -r-l F 4 �LT'1" T-IiieT Fe 1 fC - Tom'.'; ADDRESS clnr STATE zIP 1—-, P L l= * l F " E E LOAD A 7 c PHONE END DUMP BOTTOM DUMP TRANSFER .CITY STATE,zip 2 ------i±^, IT ❑ ❑ L'—S TL, Ll x 351+ PHONE -- L"cND DUMP BOTTOM DUMP TRANSFER SiGNA;UFiF AUTHORIZPB�GENT OR DRIVER DATE ROLL OFF{S) FLAT BED VAN DRUMS 2zn-Sze- 11C Ox ❑ D 7Y �7 r� 1,/ G��_ p I�� lrr��C4 ❑ © ❑ ❑ SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE RCU-OPF(S) FLAT BED VAN DRUMS 1` �. ❑ ❑ ❑ ❑ �� FORWARD INC LANDFILL cuBIcYARDs Forward shall lyre no p6ipation to accept the waste it"other or other t FORWARD INC LANDFILL CUBIC YARDS t� conditons Wnpw the"ie and effect"•deposes d the waste at e vis waste DISPOSAL METHOD ITO BE COMPLETED BY FoRv"D) rrnpms the sate are etiecbm operation of ft Landlia Forwom shall use DISPOSEJ Bf0 AFAATE ISUMf OTHER Forward stall hm no ObaQation b!cclpt tPil waste I Meader Or Ottrr U reasoryble efforts fo womptty,notify Disposer of its eamdiY to accept the condition vnpm the age era~to deposal or ttte wane or tf ms wears DISPOSAL METHOD (TO$E CGdrSPL1 1 ED BY FORV164R0► waste Lor any reason If Forwards retusal to accept the wase w tusw on imperrs the axle and effer�ra opmatmn d the L.arldldL Forward afyM use - weather or other site eonduou Forward Mas notify IM Deposer when sae ©�+L reasOrabla ellorte to prpnpty riotdY Deposer d itsar lrybildY b arced the _ _ Bio AERATE ISTWN%f OTHER conditions are expected to charge K0 that Forward wo be able to accept wasle to any moon p Forward a refusal to accept the waste a based on Lha wase ©SLUDGE weaum or cum sae cpnd.axt Froward swap nW4 Uro Oepoear when afro ❑SOIL • REMARKS • conditions we expected to chanpe such that Forward ml be ebb toacceW NON FRIABLE the waste ❑SLUDGE ©ASBESTOS • REMARKS "- - FACILITY TICKET NUMBER �'"�• - NDN FRIABLE _ ❑V,--- FACILITY TICKET NUMBER u ❑ASSE5T08 AUTHOHI;ED NT j DATE wow SIGNA�lIRE4 AUTHORIZED `1{ ^DATE - © )C''� rte— �~ 7 ASH ©OTHER ❑ASH 59 r �� -1 TMER SCHEDULING MUST 8E MADE PRIOR 70 400 P M THE DAY PRIOR TO EXPECTED ARRIVAL a ANY UNSCHEDULED LOADS ARE SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE SCHEDULE CALL(209)982 4296 MANIFEST r 54060 SCHEDUL G IdIUST BE MADE PRIOR TO 4'00 P M THE DAY PRIOR TO EXPECTED ARRIVAL•ANY UNSCHEDULED LOADS ARE TO SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL C09 E D 7 n RE I GENERATOR COPY TO SCHEDULE CALL(209)982-4,296 mm FEST I S f