Laserfiche WebLink
NON-HAZARDOUS WASTE MANIFEST <br /> F"I'VARD WASTE TREATMENT AND DISPOSAL FACILITY <br /> INC. JOB ACCEPTANCE NO. 2 _# <br /> GEIy>= TOR //++ REQUIRED PERS AL PROTECTIVE EQUIPMENT <br /> 2R OVES , OGGLES ❑RESPIRATOR E '<ARD FIAT <br /> ❑TY-VEK [:]OTHER <br /> MAILING ADDRESS �` �� <br /> Q 3-3 [/v�i`� I I r )/C-I// SPECIAL HANDLING PROCEDURES <br /> (� CITY, STATE,ZIP <br /> PHONE C:3- 6 <br /> CONTACT PERSON /, <br /> SIGNATURE OF AUTHORIZED AGENT / TITLE DATE <br /> WAS�l TYPE ri RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • ❑ DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASjH <br /> ffr'OTHER MANTECA, CALIFORNIA 95336 <br /> • GENERATING FACIIJ (209) 982-4298 PHONE <br /> k^j- (209) 982- 1009 FAX <br /> J I SL'7 t U NOTES SUCK NUMBER <br /> NAME / l / ��i%e ''*1 l'�G� 1�� •� - C� 3.e� 7 <br /> ADDRESS <br /> • CITY,STATE,ZIP, I <br /> -�� 1,9 j - - - - - / END DUMP --'BOTTOM DUMP TRATJSEE : <br /> PHONE (FM) / S r 9�f� ❑ ❑ _ ❑ <br /> 51GNATUR O!=AUTHORIZED AGENT OFRDRIVER ' DATE'µ�,w: r� ROLL-OFF{S) FLAT-BED' VAN-- "�UM�, <br /> El <br /> FORWARD INC. LANDFILL w CUBIC YARDL67 <br /> tForward shatl have no obligation to accept the asto rf weather or other <br /> conditions impair the sate and effective disposal of the waste or d the waste DISPOSAL"METHOD `` (TO BE COMPLEXED BY FQ�7V4fARD) <br /> impairs the safe and etfectrve operation of the Landfill Forward shall use ., - ' -z ' SPOSE ';BIOS' AE, tATE <br /> reasonable efforts to promptly notify Disposer of its inability to accept the �._ - - <br /> waste for any reason It Forwards refusal to accept the waste is based on <br /> weather or other site conddions Forward shall notify the Disposer when site <br /> conditions are expected to change such that Forward Iwill be able to accept <br /> the waste SLUDGE <br /> REMARKS, _ _ -�.s = - r,�<^ ka .. �.. t'.{+ww c NON-FRIABLE <br /> c ❑ ASBESTOS <br /> FACILITY TIC NUtB�R -;� -„� - „'' : <br /> ❑ WOOD <br /> � <br /> SIGNA > RIZEEY ” � `-rte;; DATE ❑ ASH <br /> ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIO TO 4 00 P.M THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS AR <br /> SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> TO SCHEDULE CALL(209)982-4298 MANIFEST * 4-7880 <br /> TRANgPnrTrFP COPY <br />