ARCHIVED REPORTS_XR0009801 - Laserfiche WebLink

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IF ,FORWARD NON-HAZARDOUS WASTE MANIFEST T- - fr, INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY �y O pjxr(� II n NON-HAWDOUS WASTE MANIFEST JOB ACCEPTANCE NO. r I NCO R P O R A T E A WASTE TREATMENT AND DISPOSAL FACILITY { r� JOB ACCEPTANCE NO. ! CMN — 4402 AMES_ AIISTOH ❑GLOVES ❑GOGGLES❑RESPIRATOR [3 HARD HAT []TY-VEK ❑OTHER GENEPAT09 _ r ,� v� _ _ REOUIRED PERSONAL PFIDI CTNEEOUIPWEM if LES F LALGSTOW GLOMES GOGGLES RESPIRATOR HARD HAT P o Bax 97 SPECIAL HANDLING PROCEDURES ldALING ADDRESS_ '� PTY VEK ❑OTHER LATHROP CA 97330 , i7 <. . „^ _- SPECIAL HANDLING PROCEDURES 209-957-5981 r • LLTLrRao,CP 45'JV rv- 7JAI{ H- 0 ,” rr `t-G57-5981.Y CONUGjPERSON C' S01' _ * / a/ SIGNATURE_ EMyTITL.E DATE En RECraK3 FAcuTY_.�. j r SLUDGE ❑ NON FRIABLE ASBESTOS FORWARD INC LANDFILLDISPORECENINGFAcam ' ❑TREATMENT SOIL r © CONSTRUCTION ONS RU WILTIO ❑ WOOD 9999 SOUTH AUSTIN ROAD TREATMENT SBL p O�RIABLE ASBESTOS FORWARD INC LANDFILL � SOIL © � r r v o r r c ❑DISPOSAL SOIL ❑YtR�OD ❑ OTHER OC - MANTECA,CALIFORNIA 95336 0 CONST04SPOS L SOIL oa ❑ ASH WO 9999 SOUTH AUSTIN ROAD GENERATING FACILITY (209) 982-4298 PHONE ❑OTHER "T =_ MANTECA,CALIFORNIA 95336 L,7 ,,'CTr "1z dAT_T TAC,Lc (209)982-1009 FAX GENE RATING FACAM (209)982-4298 PHONE - Tr FT (209)982-1009 FAX NAME NOTES. TRUCK NUMBER ^ ' ,CP ADDRESS OTENAME NS TRUCK NUMBER 131" AP'ILI rE "+l' lr * a7: ADDRESS T T" i ! rI ! fC 31 J .CITY STATE ZIP PHONE END DUMP BOTTOM DUMP TRANSFER - CITY STATE ZIP 3 - 7a- l)`' © ❑ ❑ ' T r C1 9538T 1 SIGNATURE OF AUTHORIZED AGPfWR DRIVER DATE ROU.-OFFS) FLAT BED VAN DRAMS PHONE - 7"-�1 Lt[ END DUMP BOTTOM DUMP TRANSFER a ❑ ❑ �- ❑ ❑ ❑ ❑ SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFF(S) FLAT BED VAN DRUMS FORWARD INC LANDFILL CUBIC YAC Forward"hew no o6apstan to acted de waste d wearier or dher tf c.- FORWARD INC LANDFILL CUBIC YARDS caddcre ervam the safe and ellottwa depoad d thewast.a a do waste DISPOSAL METHOD- (TO BE COMPLETED BY FORVMD) wows the eels and etteCM ooaratron of the Landfill Forward shall use reasonede efloAs to prdnlptty mbty Oepour d ds Fu0bty to accept 9a Bt0 REALISE OTHER Forons kqd shall sal no adgaaon to swept the hewaste#weather or ante waste tor any reason If Forwa ffs refuel to accept d+e waste n lased m ctrdilxarX Gr Daa the ub and eflaclwc deposal d the wase a#the wase DISPOSAL ME74M (TO BE COMPLETED BY FORWARD) weaMw or other sae oordtihons Forward Shea rotdy the Deposer when s*ta ❑SOIL ■rvaas the safe and efledwe operation a the LeMhu Forward snap use ctntd,Iroru are a�ascted m change such that Forward wdl Ix able to accept waste shorts to promgN notdy Dtgm*r d as wdaty to accew IV* BIO AERATE OTHER _ de waste SLUDGE w waste for arry reason If Forward s raft"to a=Dl the waste abased on weather Mer sae rbrditmns Forwardhas snoldy the OtSposer when ata SOIL REMARKS ❑NONFRIA�F !' ' cordiU are axpatad W change such that Forward wa oe ahle to accept ASBESTOS a REMARKS r^Ulm waste ❑SLUDGE FACILITY TICKET NUMBER _ ASKSM NON FRIABLEOJI7E SiGIthTUB OF $IZED AGE ❑ D FAC0.ITY TICKET NUMBER AUTH� - ❑WOOD '7 t �` r ❑ASH ' SIGNATURE OF 1 DATE OTHER ❑ASH SCHEDULING MUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL a ANY UNSCHEDULED LOADS AAE P OTHER SUBJECT TO REFUSAL UPON ARRIVAL.ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE CDAY BE�F7ORE TO SCHEDULE CALL{206(682-4298 MANIFEST- 5 5 522 SUBJECT TO REFUSAL UPSCHEDULING MUST BE ON ARRIVAL,ONGE PRIOR TO O ING NG DAILY DELIVERIES MUST BE SP M THE DAY PRIOR TO CHEDULED H7TH THE LANDFILL THE DAY BEFORERRIVAL a ANY UNSCHEDULED LOADS GENERATOR COPY TO SCHEDULE CALL(209)982-4268 MANIFESTO 55523