ARCHIVED REPORTS_XR0009801 - Laserfiche WebLink

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� �I• (• IIsi 3s I• >• � � r• �� ■�■ ww■e�i� �� NON-HAZARDOUS WASTE MANIFEST ' NON-HAZARDOUS WASTE MANIFEST VOSTE AND DISPOSAL FACILITY INCORPORATED V" IN T ED J013 ACCEPTANCE N0. JOB ACCEPTANCE N0. []GLOVES ❑GOGGLES❑RESPIRATOR []HARD HAT N []GLOVES ❑GOGGLES[]RESPIRATOR ❑HARD HAT []TY-VEK []OTHER bUA V4, ©TYVEK []OTHER - _ SPECIAL HANDLING PROCEDURES f 'Y SPECIAL HANDLING PROCEDURES C1inR(iP, --JRtf HEII t5'O]N ` _ _JAR HEt�KSGI �7 9m raFrrMIry ii REGEMJG FAOYlT1f ❑SLUDGE p SLUDGE ❑ TREATMENT SOIL ❑NON-FRIABLE ASBESTOS FORWARD INC LANDFILL ❑ TREATMENT SOIL ❑NON FRIABLE ASBESTOS FORWARD INC LANDFILL ' ❑DISPOSAL SOIL ❑WOODROAD J] DISPOSAL SOIL ©WOOD 9999 SOUTH AUSTIN ROAD 9999 SOUTH AUSTIN ❑ ❑ CONSTRUCTION soft CONSTRUCTION SOIL ❑ASH [3 OT" 'T 9 C 4 P T p OTHER ;T=Jn""LE MANTECA,CALIFORNIA 95336 E]OTHER MANTECA,CALIFORNIA 95336 • GENERATING FACUTY (209)982-4298 PHONE ` GENERATINGFACILMY (209)982-4298 PHONE ?„-' ""X!E (209)982-1009 FAX 1 is "'S ", "'`7 �Ht <L_ (209)982-1009 FAX fG•"I @C V_ I 7n 1 g5—1r crrrc IT �e � - L ATHROP, ^1 L'TLP,)P, C^, NOTES, TRUCK NUMBER NAME NOTES TRUCK H NAME IA '1'LaWl T ll'�<T'IG °C 3130 C/ ADDRESS ADDRESS I "i P3J_ '_ 'A1= f 3 t0 1:-- r'4KZ IE A '_ !CdU .CITY STATE,ZIP CITY STATE,ZIP vi--;kT ', , _ I V NSJ rcST'1, L^ '�:.5, END DUMP BOTTOM DUMP TRANSFER • PHONE END DUMP BOTTOM DUMP TRANSFER PHONE SIGNATURE OF AUTHORIZED AGENT OR DRIVER JDATE ROLL-W(S) FLAT BED VAN DRUMS SIGNATURE OF AUTHORIZED AGENT DRIVER DATE ROLL451 FLAT © DRUMS ,r ❑ ❑ ❑ ❑ '� FORWARD INC LANDFILL cum YARDS FORWARD INC LANDFILL CUBIC YARDS l, Forward tteat have r,d oblgetgn b OeteMt tyre waste d weateer a ofteer ? Forward ahea have rb obtgatbn to accePt the waste d weather or olhw r I— ooredrtmrre arise+ms safe and eNectne disposal of the waste or d the wute DnPOr�METHOD' (TO BE COMPLETED BY FORWARD) carea nipairs the We the nate Bred affect"disposal the of W waste or d the waste DISPOSAL METHOD ROBE COMPLETED BY FORWARD) OTH i tapas Aha&We erd Nleomms operation of the L"10 Forward"ase feasor the seta Bred etfederly notify ono the Lardhli Forward ansa use � JAERKITIMC10dOTHER ' reasonable etoAs m vorraly notdy Dmoadr d Its FudAly to accept the 810 AERATE OTHER waste for q Tea to It Forward rd ar Dt i to d as the to accent Inn '7 waste!br any lesson t Forward t refusal b srrxpt the waste n based on waste la ery realm t Fdrwyd s rehrsal b accept In!wash rs based on weather a other s o c"Forward&rek dose reordy the Disposer when Sas LJ�L weather s. e other ado woo'" Forward snau Forwanwilyrd IM Dupoaee when ane L�-� cprdtsrores ere axpectad to eYearepe each that Forward we9 be ads to acceW the waste condnrdns are expected b charge such mat Forward vnN de ei>ie to acceW • me waste ©SLUDGE REMARKS ❑SLUDGE REMARKS NON FFLABtE NON-FRIABLE ❑ASBESTOS ❑ASBESTOS FACILITY TICKET NUMBEJI-- FAGUTY TICKET NUMBER ❑W000 ❑WOOD MM TUA�OF AtkflTiORIZED AGENT � DATE SIGNAT}1RE 9P AlYniORIZED A9 NT f � ❑ASH i r 4r ASH * �. �/� [ Ji -`7 J ❑OTHER ❑OTHEM C SCHEDULING MUST BE MADE PRIOR TO 4 DO P M THE DAY PRIOR TO EXPECTED ARRIVAL a ANY UNSCHEDULED LOADS ARE SCHEDULING MUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR 70 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(209}952 4298 MANIFEST+I 55502 To SCHEDULE CALL(209)982 4298 AUNIFEST, 55503 GENERATORCOPY - - GENERATOR COPY