Laserfiche WebLink
FORWAR4 NON—HA DOUS WASTE MANIFEST _ <br /> �► INCORPORATED WASTE TRE MENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. a' s649711 <br /> ENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> IStocklron Pe�alttun_Gom _ - _ V _V_ <br /> N GLOVES [:]GOGGLES ❑RESPIRATOR 5aHARD HAT <br /> MAILING ADpRESS T TY-VEK ❑OTHER <br /> CITY,STATE IP - - SPECIAL HANDLING PROCEDURES I <br /> LZ -- - - i <br /> • �HCA,9S20b - - - - - - - <br /> - - <br /> _(209)462-8707 <br /> 9OONTACT f gRSON <br /> Jay Mc#hwh_ <br /> SIGNATURE OF AUTHORIZED AGENT / TITLE 6ATE� I <br /> WAST TY E, - RECEIVING FACILITYEl SLUDGE <br /> I <br /> I <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • 0 DISPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ STOCKPILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERA71NgCILITY _ _ (209) 982-4298 PHONE <br /> 3300 West Law,Stac]duu,GA I <br /> (209) 982- 1009 FAX <br /> r <br /> ME _ � TRACTOR LIC # TRUCK NUMBER <br /> oboe IN4 _/!9 r fy/ .s ir✓C T ��V`- _- -<- P 1k17 q'7 i <br /> i�DbRE55 r r� T _ TRAILER LIC # I <br /> r <br /> F-7 11-4( <br /> I <br /> •`C#TY,Srt_ATE, ZI0 _ _ TRAIL_ R'LIC <br /> Mme. <br /> PHONE END DUMP BOTTOM DUMP TRANSFER " <br /> :Z—,;' _91- �lrn— - ❑ ❑ f <br /> • • ,gIGNATU AUTOIpRI QAGENT OR gRfVER DATE _ ROLL-OF (S) FLAT-BED VAN DRUPS T <br /> I <br /> i <br /> FORWARD INC. LANDFILL CUBIC YARDS k ,U , �P' } 3 <br /> " Forward shall have no obligation to accept the waste if weather or other i <br /> conditions Impair the safe and effective disposal of the waste or If the waste DISPOSAL METHOD {TO BE COMPLETED BY FQRWARD <br /> .impairs the safe and effective operation of the Landfill Forward shall use ) <br /> reasonable efforts to promptly notify Disposer of Its Inability to accept the _ ❑ F E BIO AEAATE STOCKPILE OTHER <br /> waste for any reason If Forwards refusal to accept the waste Is based on <br /> weather or other site conditions, Forward shall notify the Disposer when site SOIL <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste ❑ SLUDGE <br /> ❑ NON-FRIABLE <br /> FACLIT f KT-NUM - - —` " ASBESTOS <br /> _ __ - - - --- ❑ WOOD <br /> NATAF3_F AUT CSRIZE AG T DATE <br /> _ __ _ <br /> ❑ OTHER i <br /> SCHEDULING MUST BE MAD PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE ' <br /> SUBJECT TO REFUSAL UPON RRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> TO SCHEDULE CALL(209)982-42 8 GENERATOR COPY 0 <br /> FO (C951 1NH)6 98 MANIFEST # C <br /> ` I <br />