ARCHIVED REPORTS_XR0009801 - Laserfiche WebLink

Home Browse Search

�M �n��r��7 n n� FORWARD NON-HAZARDOUS WASTE MANIFEST FORWARD NON-HAZARDOUS WASTE MANIFEST I N C O R P O R A T E D WASTE TREATMENT AND DISPOSAL FACILITY INCORPORATED WASTE TREATMENT AND DL41POSAL FACILITY JOB ACCEPTANCE NO. CNH — 4402 JOB ACCEPTANCE N0. CHH — 4402 �A -._.••'-- _Y .. REf UIF ED`1113; AUL PROTECTIVE EQUIPMENT I (sEhIl=1TATOR ++" --REOLWPPERSDt4&PRCrMCnVr=FGUWMENT ❑GLOVES ❑GOGGL.ES❑RESPIRATOR CI HARD HAT 1�MILTIG ' . Jki-c , LAI ST01 - -_ ❑GLOVES ❑GOGGLES RESPRATOR HARD HT ADDRESS ❑TYVEK ❑OTHER MA8MADa_ ❑TYVEK []OTHER p P n S G X 7. _ �. _-- _ SPECIAL HANDLING PROCEDURES P R D Y °7 _ �_ SPEG CITY , :. w- CITY SG►TE.APrY u L HANDLING PROCEDURES 16T'IP`P+ C{-a51 rl - .z PHONEt 2(t�-957-59f 1 COFAACTPERSON _ - - CONV=PIERSON IAL uGl�� t OSI SIGNATURE /TITLE DATE/ t F s n"":"I' ' SIGNA AGENT jT1TLE DISE RECEiVYJO FAdI fTYWr RECF_NM FACILITY ©SLUDGE ❑SLUDGE ❑ TREATMENT SOIL ❑NON FRIABLE ASBESTOS FORWARD INC LANDFILL ❑ TREATMENT SOIL p NON FRIABLE ASBESTOS FORWARD INC LANDFILL DISPOSAL 1rONML cwSOIL 0 9999 SOUTH AUSTIN ROAD WOOD © DISPOSAL 501E p ASH 9999 SOUTH AUSTIN ROAD ❑CONSTRUCTION 501E ASH ❑OTHER --- -- MANTECA,CALIFORNIA 95336 ©OTHER I I C MANTECA,CALIFORNIA 95336 GENERATING FACILITY (209)982-4298 PHONE GENERATING FACILITY (209)982-4298 PHONE f -(ETJ r TG" LF Tt" L� =T (209)982-1009 FAX _ >; r_, Tri 5T (209)982-1009 FAX !-IT ,' p rf LrT-,ufir. (4 NAME NOTES. TRUCK NUMBER NAME NOTES. , i.i TRUCK NUMBER TF 'i_I -r+' (' I il�L1 1 Of ADDRESS - ADDRESS r. EV fl F _ 'T • .'�� O lig- - r'fc z •CITY STATE ZIP - .CITY STATE ZIP _ r'' f Tr, C 5Scf l a-C-, ' 5JB`� PHONE END DUMP BOTTOM DUMP TRANSFER PHONE END DUMP BOTTOM DUMP TRANSFER , ❑ ❑ ❑ px ❑ El2(r-_-s7t-14,Il SIGNATURE OF AUTHORIZED ApENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFF(S) FLAT BED VAN DRUMS FORWARD INC LANDFILL CUM YARDS FORWARD INC LANDFILL CUBIC YARDS Forward shoo ha a no obipatrort to a=pl the waste it weather or otherI C/ eorfdmons m m the safe and effaouwa dmpod d tfe waste a a ate waste Forward%mV shah heal no d efl a to accost the hula d weather d a+wr WPM the Sale and effecbw aperatnn of the Landfill Forward shell the DISPOSAL ME'RiOD• (TO BE COMPLETED BY FORWARD) condd,ae errpmr the sale and eoWdii tleol W d the waste a d shah hams DISPOSAL METHOD LTO BE COMPLETED BY FORVNADI gaaable efforts to Na+tothr noddy Dmposr d Its inability to swept dos 00 AERATE SiorJaaE OTHER ere>arrs tris safe arfd edadrwa operaUort d me Lertllia 1=dwartl snap tee USPOSEI � AER, SIO OTHER reap We erfata to aao ly coaly Deposer dna nabdty to acus+the waste to any ressm p Forward's retinal to accept the waste m based on waste for"reason a Forward s refusal to accep trio waste is Gases on weather or other air*conditions,Forward shall rK&y the Diamser when age weather or other Ole conddiam,Forward snob notify the Daoaser when cite r eond4oa are esaected to dWJW such thil Forwent r.9 be able to=40 condnram we a peaatl W OwW such fhaf Forward will be a*lo ac"A the wask ❑SLUDGE the waste [:1 SLUDGE REMARKS ` _ NON FAtA9LE � "- — - HON FRIABLE � ❑ASBESTOS — ❑ASBESTOS fACLLfTy UMBER_ -_ / ❑WOOD FAGUTYxpcE. ❑WOOD / AG �/, DATE T ❑ASH I I STGN7If6RE CF/,"_f D AG r 'IDATE AS. 171 OER � ❑Q OTIER SCHWULING MUST BE MADE PRIOR704.00 P M THE DAY PRIOR TO EXPECTED ARRIVAL a ANY UNSCHEDULED LOADS ARE SCHEDULING MUST BE MADE PRIOR 70 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 DEIJVERI S MUST BE SCHEDULED WITH THE LANDFILL IFEST* THE DAY 5 BEFORE F RE TO SCHEDULE CALL(209)58JC2-4298 MANIFEST/ 566 00 TO SCHEDULE CALL 1200)982 4298 EL