Laserfiche WebLink
FORWARN NON-HAZ*DOUS WASTE MANIFEST <br /> �► <br /> INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. 6 4 R Iti <br /> QENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> Stocktw *oleum Company w GOGGLES RESPIRATOR HARD HAT I <br /> MAILING ADDRESS T- -' - - --- - NGLOVES <br /> ❑ [-]RESPIRATOR <br /> VEK ❑OTHER II <br /> 11905NMWD*M - - - -- - - _ LL - SPECIAL HANDLING PROCEDURES <br /> CITY,STATE, ZIP -_ <br /> • mftw C 53206 <br /> 9q2�-$707_- <br /> O(N4# Pr*RSON <br /> Jay mcnm& _ _ <br /> SIGNATURE OF AUTHORIZED AGENT/ TITLE DATE <br /> WASTE YPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL1 <br /> ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • DISPOSAL SOIL ❑ WOOD <br /> CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 �I <br /> GANEF-- - F_q]UIY _ _ (209) 982-4298 PHONE <br /> 3300 West bane,,awdd oq CA <br /> (209) 982- 1009 FAX <br /> E 114 ,! TRACTOR LIC # TRUCK NUMBER I <br /> TRAILER LIC # <br /> lead• CITY, STATE, - _I_ � _161 7-/z W—:%- <br /> Z!P _-_ _ ___�_ __ _ TRAILER LIC # <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> I <br /> . . rSIG�EOF AUTHORIZED AGENT OR,DRIVERDATE_ v ROLL-OFFS) FLAT-BED -VAN DRUMS �' S <br /> 17-q7 ❑ ❑ ❑ ❑ <br /> f� <br /> CUBIC YARDS <br /> FORWARD INC. LANDFILL - <br /> Forward shall have no obligation to accept the waste if weather or other <br /> conditions impair the,safe and effective disposal of the waste or if the waste DISPOSAL METHOD (TO BE COMPLETED BY,FORWARD) <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 DIS BIO AERATE STOCKPILE OTHER <br /> waste for any reason If Forward's 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 accep <br /> — 4 4-1 <br /> the waste ❑ SLUDGE <br /> NON-FRIABLE <br /> FACILITY TICKET NU BEFi ❑ ASBESTOS <br /> El WOOD <br /> $1L31V UR OW-Al1T ORiZI»D A N7 - - DATE -- i <br /> ❑ ASH I � <br /> 12 17 <br /> ❑ OTHER t <br /> SCHEDULING MUST BE MADE PRIOR TO 4 00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL UPON ARRI ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> F01TO SCHEDULE CALL(209)962-4298 GENERATOR COPY 624667 <br /> MANIFEST # C <br />