ARCHIVED REPORTS_XR0009801 - Laserfiche WebLink

Home Browse Search

..s was �■■ � i i i i i i i a i FORWARD NON-HAZARDOUS WASTE MANIFEST FORWARD INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY NON-HAZARDOUS WASTE MANIFEST FORWARD JOB ACCEPTANCE NO. I NtC O R P O R A T E D V#STE TREATMENT AND DISPOSAL FACILITY 011 JOB ACCEPTANCE N0, JAMES M LAN STON ❑GLOVES ❑GOGGLES❑RESPIRATOR I-)HARD HAT 1 - ❑TYVEK ❑OTHER 71 JAMES M LAIlG570N ❑CLONES ❑GOGGLES❑RESPIRATOR E)HARD ❑TY VEK ❑OTHER P 0 30X-97 _ SPECIAL HANDLING PROCEDURES p C BOX 97 _CTFY„�SW'�aP r„�,,;;.'-� -- r, � �------ SPECIAL HANDLING PROCEDURES ATHROP CA 95398 1-'� ' - _ LATHgOP, CA 95390 q-9.57_-55981 205-957-59$1 i JaE, HERRICYSO:, JAN HENRICKSOP' SIGNATURE OF AUTHORIZED AGENTkTITL.E_ DKIE; SIGNATURE of ALTIIioR D AGENT!_ ' VITYPE RECEMNG FACIUTY +r / -' - zk 66 VIIASTE TYPE w 1� s RECEIVING FAGIUTY c3 as u ❑ SLUDGE ❑ TREATMENT SOIL ❑NON FRIABLE ASBESTOS FORWARD INC LANDFILL ❑ SLUDGE • ❑ DISPOSAL SOIL ❑ WOOD ❑ TREATMENT SOIL ❑NON FRIABLE ASBESTOS FORWARD INC LANDFILL � ❑ CONSTRUCTION SOL ❑ASH 9999 SOUTH AUSTIN ROAD ' ❑ DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD 13 OTHER ''_Lc MANTECA, CALIFORNIA 9533$ ❑ CONSTRUCTiONSOIL OOTTHER �T,OYPTL_ � MANTECA,CALIFORNIA 9�33b , GENERATING-1-" T I I1ITY _ (209)982-4298 RHONE + GENERATINGFACILETY (209) 982-4298 PHONE E' = T (2091982-1009 FAX _ --c77 IS aA-'T r TAC"_= _ _ ST (209) 982-1009 FAX It, Ln NAME - NOTES _ 1l3lJGK NUMBER q1C`' u AMILTO ' TRUC ADDRESS fF C �� 3 { �C` - "��ID T�L'M:. ' C� .pct"% . ADI CITY STATE ZIP r �� _+ 'ALL,"1� AsIE t «G -- . CITY S"fk TEP END DUMP BOTTOM DUMP TRANSFER -_ �r 4 PHONE r 1 1-1 E) El PHONE y END DUMP BOTTOM DUMP TRANSFER SIGNAT O�[JTHORIZED ADEM OR DRIVER PATE ROLL-OFFS) FLAT BED VAN DRUMS SIGNATURE DF AUThiORtED AGENT OR DRIVER DATE ROI FLAT BED VAN DRU 11 C1 0 FORWARD INC LANDFILL CUBIC Y`I ^ CUBIC YARDS FORWARD INC LANDFILL ' Forward v allthe have ro oDltpadprt b accept the waste d e or t e wastthere forward Shall have no oblgatron to accept the waste t weather or"r r r oortddtas arpair the safe and eiteMive tluppsat of the wase w d the wase DISPOSAL METHOD atnarts the safe and effective operation of 9*Landfill Forward shall use [TO BE:COMPLETED BY FORWARD) cordtions momr the sale and effective disposal at the waste or d the waste DISPOSAL METHOD (TO BE COMPLETED BY FORVtd1RO) reasonable etlorts to pr rnotty notify Dispose, of ds stability to accept the _ POSE BIO �AERATEIMDCMUI DTHER ffnowrs the safe aro ehectne operation of the Landfill Forward shack use WI tdr any f' I M Farwa2 s refusal to socew the waste ra based on reasonable eftols to promptly hohly Om;cser of ds wdMy to accept the POSEI MO AERATE: OTHER wealMr M Mher site cenddtpn„Ftxwatd Shea nphty the Dtaodaer when Site SDIL waste for azy reason if Forward s refusal to accept the waste is based on c rtddions are expectei to charge such that I Award oris be able to accept weather or Mie ate CWXd LKM Forward s tali notify ly u e Disposer when site ❑SOIL uta waste ❑SLUDGE eorcltwis are expected to change such that Forward w+lt W able to accept — ` REMARKS ` the waste ❑SLUDGE NON FRIABLE REMARKS ASBESTOS � FACILTTY TTCOa NUMBER ❑ FACIIJTY TICKET NUMBER ❑ASSEMS ❑YVOOD ❑WOOD ❑ASH SIGNATURE OF ALP e SIGNXP R410F AAHORIZED AC�NT /I DATE HORDED/jGE`Nr 1 QATE t I Y_ _�— E)ASH NON! ❑OTHER I * - _-- OTHER SCHEDULING SCHEDULING ST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL ANY UNSCHEDULED LOADS ARE MUST BE MADE PRIOR TO 4 00 P 0 THE DAY PRIOR TO EXPECTED ARRIVAL+ANY UNSCHEDULED LOADS ARE MU ► SUBJECT TO REFUSAL UPON ARRIVAL ONGDINLTQAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE REFUSAL T SUBJECT O RUPON ARRIVAL.ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE TO SCHEDULE CALL[209)982-4298 ✓ C ^ -1 TO SCHEDULE CALL(209)982 4299 MANIFEST. 5 554 R MANIFEST;F 55 5 4 2 GENERATOR COPY GENERATOR COPY