ARCHIVED REPORTS_XR0009801 - Laserfiche WebLink

Home Browse Search

FORWARD -- -- NON-WARDOUS WASTE MANIFEST (FORWARD NDN-HAZARDOUS WASTE MANIFEST INCORPORATED VOSrE TREArKENT AND DISPOSAL FACILITY I N O R P O R A T E D WASTE TREATMENT AND DISPOSAL FACILITY JOB ACCEPTANCE NO. rt- iMg— 4402 JOB ACCEPTANCE NO cHR — 4402 GENEROOFL ri �,n,_w EOUIIPIAWT 3^- •• ' �`^TM w �`J- - �-- JAMES X - LAN_GST01' T._ OGLOVES ❑GOGGL ES❑RESPPAMR ❑HARD HA REOAEDP=F50NALflRC7ECiNEEQUIPMENT OVES QLLS❑RESPIRATOR [3 HARD HAT M4RWG ADDESS QTY VEK ©OTHER -ALES 1_L4# _OiAASFEi � ❑TYOTHERP 0 RLXO7 SPECIAL HANDLING PROCEDURES CITY S1ITE,_Zrt_ CITYeUyFj5P a -- y -- _ SPECIAL HANDLING PROCEDURES LT T HRO CA q9,^20 YfY�• '-�� !r ` ~��` - PHONE -e. ,,,.,ri 7. 7 � _ � -- _ CONTACT PERSON - COI+fV=PERiSON _ _ _ J A r H E c:01 „I _ CD'. SIGNATUR /TITLE 1 DATE BIGJ u NATUF _. ENT%TITLE DATE VPSU Pf'PEI RECEIWJG FACLLITY E RECEIVING FACILITY ' f ©SLUDGE SLUDGE ❑ TREATMENT SOIL ❑NON FRIABLE ASBESTOS FORWARD INC LANDFILL ' p TRFArMENT soft, ❑ 'VCN-FRIABLE ASBESTOS FORWARD INC LANDFILL - ❑ DISPOSAL SOIL ❑ WOOD gggg SOUTH AUSTIN ROAD • ❑ DISPOSAL SOIL ED WOOD ❑ CONSTRUCTION SOIL ❑ ASH ❑ CoNSTRUc'Tlcvsot, ❑ ASH 9999 SOUTH AUSTIN ROAD ❑ OTHER -; MANTECA,CALIFORNIA 95336 ❑ OTHER MANTECA, CALIFORNIA 96336 GENERATINC FACILITY (209) 982-4298 PHONE GENERATING FACILITY (209)982-4298 PHONE _-� '- ,_-- . r -_ —:T;Y -F --I 'a-`L- (209) 982-1009 FAX (209) 982-1009 FAX ' y NAME NOTES TRUCK NUMBER -- ' -LT� T�'t ^ p. -��c2- NAME ��r NOTES TRUCK NUMBER - A :1 J C? ' `.1' 4C/ ADD,4ESS ADDRESS r ,&' -5 t��`[ P tw L:t - AH L^A- j�g n -- pA?!E=':- CrTY STATE ZIP r ti C .CITY STATE ZIP -- T ` 1?� �'�' 3 ' r LOA,; = - PHONE END DUMP BOTTOM DUMP TRANSFER PHONE ' END DUMP BOTTOM DUMP TRANSFER _ _ Q r ❑ ❑ T _r- - •!,- Q. ❑ p SIG IE Or A `(ZED AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS SIGNATURE OF AUTHORZED AGENT OR DINER DATE ROLL-OFFS} FLAT-BED VAN DRUMS 7' r G ❑ ❑ ❑ ❑ * , 17 © ❑ ❑ fir_ f.v� 21� FORWARD INC LANDFILL CUBIC YARDS FORWARD INC LANDFILL °1J�'�Y' J Forwam*hail leve no cblgatron to accent the waste 0 weather M other FomW Was lave no obbMtgn to accent the waste d wea her or other ,i comftns Moir the sate and of efr,e drsposal of the waste or a the waste DISPOSAL METHOD (TO BE COMPLETED BY FORW4 L'- ccrdmora mpmr the astir and effect"deposal rf Me waste or A the waste moans the sale and effectrm operation of the Lardfrll Forward shall use pSPOSE BIOlAmA77mcoulOPOTHER uTrpexs the safe and tMecbw operation of the Landfill-Forward shall use DISPOSAL METHOD' (TO BE COMPLETED BY FORWARDI reasonable efforts to prarWp notdy D ooser d As r ability to accept the / reasonable atoms to pev O waste'cr spry reason It Forwards refusal to accept the waste a based on SOIL M ddy Orspoaer d Rs vab fisy To eo apt the 01SPOSE BIO AERATE STpCKP4E OTHER weather or otner sue corn uoru Fo w vd stay notdy the Dispose, when sae waste for try meson a Fo1vwt6,efusao to&--mot the waste is based on cordttons are expetted t0 Cha such that Forward xn31 be able to accept wMher or other sIe Cmxf+tm Forward area rotsy Me Drspomr when Atte '$OIL te cordo—are aspersed to&A-ce arras that Forward AD be able to accept the was _ - ❑SLUDGE _ the waste ❑SLUDGE REMARK' _ REMARKS__ ,_ - ^- ❑NDN-FRIABLE •�• -- - - NON-FFdABLE 51GrG_C_ET N _ ""' - '.• _._..•-..`_-V ❑ - FACILITY TI�CKNUMBER - ❑❑ASBESTOS ASBESTOS WOOD tiDFAY-I_ � D^^fT DATE RIZFD NT ASHA/ - ❑ASH ! ❑OTHER V t7llv�iF ©OTHER SCHEDULING MUST BE MADE PRIOR TO 060 P.M THE DAY PRIOR TO EXPECTED ARRIVAL•ANY UNSCHEDULED LOADS ARE SCHEDULING MUST BE MADE PRIOR TO 490 PJL 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 DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE TO SCHEDULE CALL(20P)982 4298 MANIFEST* 56555- TO SCHEDULE CALL(209)982.4as MANIFEST k 5fi554 _ _ _ . - I