ARCHIVED REPORTS_XR0009801 - Laserfiche WebLink

Home Browse Search

UitVVA-1W NON-RAMMU5 WASTE MANIFEST tf LIt{W1`1tClJ �vuN-rwcpLrcuLJL1D w i>_Mwv[r>=�i lNCDRPORATED T � F INCORPORATED �'`�TREATMENT��O-�F'�� JOS ACCEPTANCE N0. JOB ACCEPTANCE NO - � ti=amg— r .. AN ST ❑GLovEs ❑GOGGLESQFIESPIRKIOR QHAPDranr JAIES� JAME�N�LAj� S ❑GLOVES ❑GIDGGLESQRESPIRATOP DFUWDHAT P BDx 87 ❑TYVEK ❑OPRER MAM�ADDRMSs F. -. - ❑TYvEK QOTHER SPECIAL HANDLING.PROCEDURES P Q-DOX 97 SPECIAL HANDLING PROCEDURES • LAT KROP CA 85330 LATFLRQ?�_CA 8530 209-957-5981 PHONES'rte__=_-- _ 'ter.._ ` _ z Jr- iiiiiiiiiiia 209-957-5981 JAI HEN CXSON SiGW1Tl1FZE0 _ / x DIdE SIGNATURE r - - -_- E FACILITYFE IC ❑ TREATMEhTsofL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL ❑ SLUDGE I • ❑ DISPOSAL SL ❑ DISPOSAL so1L ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL ❑ CONSTRUCTION SOIL p AS oD 9999 SOUTH AUSTIN ROAD • © DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD I ❑OTHER SToE;D__E MANTECA, CALIFORNIA 95336 L: CONSTRUCTION SOIL O HER c:-r-21L # MANTi=CA, CALIFORNIA 95336 GENER4TINGFACIUTY (209)982-4298 PHONE GENERATING FACILITY L^JGSOT&"s .n:- Z -AC'L E r „_T T�S�L- (209) 982-4298 PHONE 15a1� SEI_ ,;j S (209) 982-1009 FAX -„r s-' I (209)952-1009 FAX LA-HROP, CA = J -`' �n NAME � NOTES I TRUCK NUMBER f NAVE NOTES TRUCK NLMBEF gTCh NA'=L10 TR,fC T r, r7'"3 }3S'7 �" � l I -��,tiei F''U�<!Nr ADDRESS'V c TL_,�IE c LTJ„^r -^J 1f tiDR-cSF j / a ;1,7 - - CITYS M7JPG ITY STATE ZIP I r nE`^, C 4535I V N� FHONE END DUMP BOTTOM DUMP TRANSFER -_PHONE V END DUMP BOTTOM DUMC TRANSFER D 11 ID ID 11 D SIGNATURE OF AUTH014CED AGEtfi OR DRIVCRj DATE ROLL-OFFS) FLAT BED VAN DRUMS SiGNATLRE,O-Avri+o ZZD/(GEM'OF4*11VER DATE/ � ROLL OFF(S) FLAT-BED VAN DRUMS 11 El 11 ❑ ! i ❑ L / I CUBIC YARDS wUMC YARDS FORWARD INC LANDFILL I FORWARD INC LANDFILL J [�J` ! � Forward shall name no Odrsatrn to a, =1 the+waste rf weetew or other !` Forwar[shat have no obspet+ort to accepthe waste asse d weather or other / l`/ cdndtl.miMf the sale ono eae=x a dr-.bsa,o the waste or d tha waste DLSPOSALMETHOD BE COMPLETED BY FORWARG] corgrteoru nr>Ga� trx sate enc ettecsm disposal of the waste or d the waste e.rs ire sa'e and el..-We c-eratm of the Landfill Forward shall use r DISPOSAL METHOD (TO BE COMPLETEp BY FORWARD) mg"NI1tC eNcrts to prmoly rfArty Dispow of as m"Idy to accept the POSEj BID AERATE Si0cm-- OTHER rmma rs he sate aid etfe�'m —o-abon of he Lmctli l Forward shell usewaste tor any reason a Forward s retual tc accW the waate a based on ---- reasomble etrbls tP prOMOY Mtdy D4003ef Of tts maDrhty to accent the DISPOSEi B!0 I AERATE StOCror4E OTHEt+ wreathe Cr alb Ede can&—its Forwa7�0 r�itw the D*Dmr when ate LJ SOIL waste to am reason h Edward a relaEal ro accept the waste s based on xrchbons are exmecte5 to atsen➢e scrr tl� Forward will be ode se accept ' "a re o,othe sae c rdtt--s Fcrwa c 1011 nobly Me Lupoaer when sae ❑SOIL the waste ❑SLUDGE corWerors are expected to CWep&rdh that Fprwurd wen!ae We to PCCep REMARKS It a waste ❑SLUDGE ❑NDN FR"LE • REMARKb NON l _ ❑ OS LE FAGLTASBESTOS Y TICKET NUMBER � FACILFTY TICKF�NJMBER ASSMST❑ OD r ©WOOD WO SIGNA,INRE OF AUTHORIZEDrfflErT DATE ❑ASH SIGNATU3E•6r AUTHORIZED AGENT; DATE ASH E----�'"� I � �~ �l 7 ^t ❑OTHER I r' � _ _ � �r {^ ER � SCHEDULING MUST BE MADE PR10R r0 400 p,M THE DAY PRIOR TO EXPECTED ARRIVAL•ANY UNSCHEDULED LOADS ARE SCHEDULING MUST BE MADE PRIOR TO 4.00 P M THE DAY PRIOR TO EXPECTED ARRIVAL•ANY UNSCHEDULED LOADS APE SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELrvERIFS MUST HE SCHEDULED WITH THE LANDFILL THE DAY BEFORE SUB,ECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE TO SCHEDULE CALL(2091082.4288 1v"tFEST r 56594 TO SCHEDULE CALL 1200)982-8298 GENERATOR COPY GENERATOR COPY —- MANIFEST♦ 56595