ARCHIVED REPORTS_XR0009801 - Laserfiche WebLink

Home Browse Search

P URWAIW NON-HAZARDOUS WASTE MANIFEST O}{r n I,N C O R P O R A T E D WASTE TREATMENT AND DISPOSAL FACILITY F' WARD NONHAZARDOUS WASTE MANIFEST JOB ACCEPTANCE NO. , -INCORPORATED VOSTE TPEATWNT AND DISPOSAL FACILITY / JOB ACCEPTANCE NO. D JAME r ATIGS Ott ❑GLOMES ❑GOGGLES❑RESPIRATOR ©HARD HAT ___ � � MIAAN Cp ' ❑TY-VEK ❑OTHER P O BOX x s 7 p GLOMES ❑GOGGLES❑RESPIRATOR ❑HARD HAT P 0 B SPECAAL HANDLING PROCEDURES MAl11NG ❑TY--VEK ❑OTHER qTyLATH90Py CA 95330 P!] 90x 97 SPECIAL HANDLING PROCEDURES C�`- 209-957-5981 LArHROP ca 95 a ! HErL+2CiC50 ~• 209-957__5991 �_,,, SIGNATURE � �`_ s 1 J4h1 uEhl - SOF _ _ SIGNATURE TIRE DATE �- RECEMNG FACILITY SLUDGE — RECEMNG FACILITY ❑ / ❑ TREATMENT SOIL ❑ NDN-FRIABLE ASBESTOS FORWARD ING LANDFILL []SLUDGE ❑DIS-OSAL SOIL ❑ +SODgggg SOUTH AUSTIN ROAD ❑ TREATMENT SOIL ❑ NON TRIABLE ASBESTOS FORWARD INC LANDFILL ❑ CONSTRUCTION SOIL p ASH ❑ DISPOSAL SOIL ❑WOOD ❑ OTHER S73c.=:L_ MANTECA, CALIFORNIA 95336 ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD • GENERATING FACILITY (209) 982-4298 PHONEOTHER 'r''= ' ' MANTECA, CALIFORNIA 95336 -A-L: (209)982-1009 FAX • GENERATING FACIUTY (209) 982-4298 PHONE 'S"'l is Ta4 I_- _ ^7,+= IT 4 S (209) 982-1009 FAX NAME NOTES TRUCK NUMBER T p J"Y I I i 1 (, ;/ I NAME 1 NOTES TRUCK NUMBER ADDRESS L ''_::', -IA'TLT0 , TSlrr;-x10 4�:;`:LjQq - ti Il - _ 1 '? ADDRESS jv='34'-� -CITY STATE ZIP - I v � � -"3, PAJL:"- AVE =' t i CITY STATE ZIP PHONE END DUMP BOTTOM DUMP TRANSFER , p 11 1) PHONE ' T^ r n]^V END DUMP BOTTOM DUMP TRANSFER S1C4!<,;E OF AUTHQ�i D AGE:'r Os DRMP JDATE ROLL OFFS! FLAT BED VAN DRUMS _ _- I ❑ ❑ ❑ {� i f o ❑ © ❑ ❑ SIGNATURO- OR2EO AGENT OR bRNER DATE ROLLOFF(S! FLAT-BED VAN DI:UMS �r �_ %�l .tom �"^l" f �� ❑ ❑ ❑ ❑ FORWARD INC LANDFILL CUBIC YARDS Forward sFWI have w o�atltn to accept da waste a weather or other 1, FORWARD INC LANDFILL CUBIC; DS condaioru Imran the sate aw etfedvre drsoosal of the waste or a the waste DEPOSAL METHOD (TO BE COMPLETED BY FORWARDI prom the Sale and effevht 0perabm of the L.armh Forward"it use Forward Shall rave no oobpatlDn 10 accept the waste rt weather or otter + reasoratk efforts 10 DrOW4 navy Lhstomer of Its ea6nhty to accept the POSEI BIO AERATE O=XPU OTHtH conditou Impair the sate an a effective dapossl of the waste or it the waste DISPOSAL METHOD (TO BE COMPLETED BY FORV ARM waste for arty reason M Forwulfs refusal to acceDl the waste Is based on mpalrs the sale and dledbve&>eraton of the WAR Forward shall use weatrter or other Sae cenyaKY4.Forwerd siail notoy au Deposer f)site TL reasom:*efforts is pmabh ophy rtctny Disposer d Its aty to accept the / SPOSE BIO AERATE OTHER condltlms are expected to rs+arpe such that Forward well be able to acceot waste for any reason.If Forward s refusal to accept the waste is basad on the waste ❑SLUDGE weather or olto sae cond,tions For*wd sUl noisy the DoDuer when she SOIL • REMARKS I corid tore are emr_'ad to change sudh that Forward will be alle to atcepi AS14-171ASLEIN waste ❑SLUDGE FACILITY TrKET NUMKR ❑ASBESTOS • REMARKS NON FRIABLE Z" ©WOOD FA,=rrY�CKEi h ER ❑ASBESTOS SiG*LF TAUTHORIZ,EVAGENT Dm El WOOD y /�, i f i :� n— ❑ASH -4SAGN LURE I:#� THOR( D/ENT , � LATE� OTHER ,� r111i11 r/i , ASH � ©OTHER ScHEDUUNG MUST BE MADE PRIOR TO 4.00 P.M THE DAY PRIOR TO EXPECTED ARRIVAL a ANY UNSCHEDULED LOADS ARE — SUBJECT TO REFUSAL UPON ARAWAL ONGOING DAILl'DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE TO SCHEDULE CALL(202)982-42n SCHEDULING MUST BE MADE PRIOR'TO 4W P.M THE DAY PRIOR TO EXPECTED ARRIVAL• ANY UNSCHEDULED LOADS ARE MANIFEST« 51j 5lQ SUBJECT TO REFUSAL UPON ARRUL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE GENERATOR COPY TO SCHEDULE CALL(209)082-4208 MANIFEST 0 56 571.