ARCHIVED REPORTS_XR0009801 - Laserfiche WebLink

Home Browse Search

URWARU NON-HAZARDOUS WASTE MANIFEST � ),NCORPORATED �TREATMENT AND DISPOSALspOsw.FACILITY DRWARD NON-HAZARDOUS WASTE MANIFEST , INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY / JOB ACCEPTANCE NO. JOS ACCEPTANCE NO. I.— -44x2 ` _ A ❑GLovEs pGOGGLEs❑RESPYTATOR ❑HAADHA7 d _ REOLIF ED PERSONAL PROTECTIVE EQUIPMENT � ❑TY-VEK ❑OTHER W=14 LAr,1zT'It' []GLOVES []GOGGLES[:)RESPIRATOR ❑HARDHA7 I Q gp SPECIAL HANDLING PROCEDURES. LA MADDRESS_ _ r [:]TY-VEK []OTHER P 4 no/ i''. _ CITY STATE 41` r - - - �. SPECIAL HANDLING PROCEDURES - • L„THROP Ce X5330 N T Z�P_nF7_rinRi TIE j+;rr Nc,RIS Say SIGNATURE TITLE DATE TDATE _ RECEIVING FADr11TY4W)STE TWE RECEIVING FAC LITY ❑SLUDGE ❑ TREATMENT SOIL ❑NON FRIABLE ASBESTOS FORWARD INC LANDFILL SLUDGE ❑ DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD [:1 TREATMENT SOIL p NON FRIABLE ASBESTOS FORWARD INC LANDFILL ❑ CONSTRUCTION SOIL ❑ASAI ' ❑DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD [],OTHER MANTECA,CALIFORNIA 95336 ❑ CONSTRUCTION SOIL ❑ ASH • GENERATING FACILITY 209y 982-4298 PHONE [3 OTHER --r -._= MANTECA,CALIFORNIA 95336 GENERATING FACaM (209)982-4298 PHONE - = T (209)982-1009 FAX ] �^i Til r` t3'IT ` T ^,'L` (209)982-1009 FAX _1Tt-'3aP, Ct NAME NOTES. TRUCK NUMBER 'IT'I - ILT-,t Tc;CCING NAME NOTES ,` TRUCK LIMBER ADDRESS & _ - I,^„ t c,-L:C, Ia -r•, ii-! �S- / ,f %�✓ CITY STATE ZIP ' ADDRESS .�� E. /L�r- _ PHONE END DUMP BOTTOM DUMP TRANSFER CRY S�� ZIP ❑ ❑ 1:1 • PHONE END DUMP BOTTOM DUMP TRANSFER SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE POLL-0"(S] FLAT BED VAN DRUMS J �7 -ay ,, d ❑ ❑ .amu h� .' P-��I�is ❑ ❑ ❑ C]SIGNATURE OF AUTHORIZED AGENT DR D�IR�R DATE ROLL-OFF(S) FLAT-BED VAN DRUMS 7k -; 4-s S S J ❑ ❑ ❑ ❑ FORWARD INC LANDFILL CUING YAMS , t CUING YARDSForward shall naw no ob gation to accept the waste d weather or other FORWARD INC LANDFILL r '' condit om opa,r We sale and efleetwe deposal ot the waste Of d ma wase DISPOSAL METH, D ITO BE COMPLETED BY FORWARD) Forward&Isatl have rq otsCipaltdrr b eocepl Itte waste b weather or dotter I +roams the safe and ellecl ve oWadpn d the Landlili Forward shad use SPOSE Euo AERaE SNC OTHER reasonablea[bru to promptly Hoary Disposer ofds wra0dity d&C41131 pre corddens mrpaa the safe and eNectna deposal d the waste or d the waste DISPOSAL METHOD, (TO BE COMPLETED BY FORMRDI waste lor arty rea&on it Forward s refusal to accept die waste u cased on Ir"a the sale and ededrw oWSIon of the Lrrdf�s Forward sfae use p AERATE OTHER weather or other to caWroom Forwwo shwa no*the Onposa when We SOIL reasonablW etIorta to promptly redtdy DmPoser d dcc Its rawy to accept the conddrata are expelled to charge such that Forward was be Odle to accent waste for any raason N Forward&fetusal to accept the waste a based on the waste ❑SLUDGE weather or other site coddrorm Forward coed!noirly the Dapo&er when so ❑SOIL ` REMARKS cprddou are expected to dtarge&udh Hla)Forwent will be able to actedI NON FAV81 the waste ❑SLUDGE ❑ASBESTOS • REQS taDN FRlAete FACILITY TICKET NUMBER ❑tN000 ©ASBESTGS FACUJTY TICKET N MBER ❑ WOOD ASH OF AUTHOR�D A�ENT DATE ©ASH SIGNATURE OF^�'T'�� DATE * —� HER ASH 'DTHFA J I 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 LANDF L THE DAY OI F RE SCHEDULING-MID! BE MADE PRIOR TO 4 00 P.M THE DAY PRIOR TO EXPECTED ARRIVAL•ANY UNSCHEDULED LOADS ARE TO SCHEDULE CALL(2D9)982 4288 ELe -r SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE i TO SCHEDULE CALL(209)982-4298 MANIFEST e 54093 GENERATOR COPY 1