ARCHIVED REPORTS_XR0009801 - Laserfiche WebLink

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o WAla) NON-HAZARDOUS WASTE MANIFEST r� t j J - NON-HAZZMDOUS WASTE MANIFEST_ t CORPORATED _ �TE� NT4M�� P� INCORPORATED TREATWNTAMa�`�FACUM KNOW JOS ACCEPTANCE NO. Room= ' r af08 AGGEPTANCE NO. JAMES N tAN&aTON THER n❑ 3 []OTHER GammGLES❑RESPIRATOR ❑HARD HAT �, OTMCNES Q❑OGOGGLE3©RESPIRATDR ❑HARDHA7 P D —Box 97 SPECIAL HANDLING PROCEDURES P 97 SPECIAL HANDLING PROCEDURES C LATHROP CA 95330 TI (fP A 45330 249-957-5981 209-957-59 1 OOPIUGL�RS01� �'� CO�+iDS[.F�,E�...-� JAN HE4RICKS0N JALHENRICKS01I OFAL WFMF,D _ _ �h— - SIGNA OF„_MICE�AGENF1� � VPSTE TYPE �zs ..%,_:�. RECEIVING FACVrY„�� Vi4STETYPE � _ _. Y� RECENNM1 fAGLL1TY__ -- SLUDGE El SLUDGE ❑TREATMENT SOIL ©NON FRIABLE ASBESTOS FORWARD INC LANDFILL ❑ TREATMENT SOIL ❑ NON FRIABLE ASBESTOS FORWARD INC LANDFILL • ❑ DISPOSAL SO4L WOOD []SOUTH AUSTIN ROAD • ❑ [:1 WOODDISPOSAL SOIL WOOD ❑ CONSTRUCTION SOIL ❑ ASH ❑CONSTRUCTION SOIL C1ASH 9999 SOUTH AUSTIN ROAD OTHER s+o,µj�,lr- MANTECA,CALIFORNIA 95336 _ CoTIaER �-� t r 1(-. MANTECA,CALIFORNIA 95336 GENERATWGFACILfTY (209)982-4298 PHONE GENERAnNGFAG41TY (209)982-4298 PHONE Lr' ;.Tr". =,:r TA.-Lt (209)982-1009 FAX L' ' T ' ' -- ' '}�`' - (209)982-1009 FAX 1- ,i° cc r: Tu ST 1»_3 -E - .i NAME NOTES TRUCK NUMBER NAME NOTES. TRUCK NUMBER t:-`' rlytr:Lrr+ , Tll`J t(IIG crrAL-4y'-, � 1 ) ^ ' U ,s-� :� T ADDRESS \,JFS�r$t I =� ADDRESS S �1^�: '3'T'LT '; fid' hnn 1,2 . _ = CRY STATE ZIP •CITY STATE ZIP - q PHONE END DUMP BOTTOM DUMP TRANSFER PHONE END DUMP BOTTOM DUMP TRANSFER -�7 Q' ❑ ❑ ❑ 13 SIGNATURFr 1rF�OTHQFII7ED AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS SIGNATURE OF AU"RIZED AGENT OR DRIVER DATE ROLL-OFF(S) FLAT BEDVAN DRUMS FORWARD INC LANDFILL CUBIC YARDS U FORWARD INC LANDFILL `UM YAC Forward Sha haoe no ob5pton to aocept the waste d weather or other t �l Forward"hews no Cu patw to accept the wash d weather or other } GarTdd w+rose the aorta and afteetrwe disposal d the waste or s fne waste DISPOSAL METHOOr (TO BE COMPLETED BY FORVMD) COndilpM impair ou sale ano ettechve dispoaat of the waste or d the wade DISPOSAL METHOD 1TO COMPLETED BY FORWARD) arpaas the sale v4 eftect„re operation of the Landfill Forward arra use nvaua the sate and effect"owaT,on of the Lardtdl Forward shay Use Bt0 AEAAT� OTHER efforts masonaUe to PromwPre ptrY nary Dmmcr at its *ty to atmaO BIO JAERATE OTHER reasonable atforts to Promptly Wdy Wooler of ax= Its b'QMY!o 4104 the MSPOSEI waste for any raasm 0 Forward a nf"to acceO the waste to based on waste Ior arty reason Y Forward s refusal to ad=ept the waste ts rosea u NL weather or other sae conditions Forward ehas ronty the Dmmsor when ife ❑SOIL weather or other ado omd t ons Forward shall noWy the WPose,Own able cordtons are expected to Charge such Thea!Forward we to able to accept Conddrona are expected to Chg W auCh that Forward will be able 30 sCCaot the waste ❑SLUDGE the waste ❑SLUDGE • REMARKS REMARKS NDN-FRV E ❑NON-FFMALE ❑ASBESTOS FACILITY TICKET NUMBER ASIBESM FACILITY TICKET NUMBER ❑ ❑WOOD WOOD VGNATURE OF AUTHORIZED AGE.piT DATE SiGNP�TiIRE t7F AUTNQRt2EB h EN DATE ❑ASI{ ,I- ❑ASH C7ER '� OTHER SCHEDULING_MUST BE MADE PRIOR TO 4.00 PM THE DAY PRIOR TO EXPECTED ARRIVAL o 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 MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE To SCHEDULE CALL(204)962 4298 MANIFEST. 54083 TO SCHEDULE CALL 1209)982 4298 MANIFEST. 54084 GENERATOR COPY GENERATOR COPY