Laserfiche WebLink
FORWAJkj_ , I ; ; NQN-HA DOUS WASTE MANIFEST <br /> I N C O R P O R A T WASTE TRPTMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. /- (' , 64,8711 1 <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> Stoddpq Pelrolem Cody __ _ _ _ GLOVES [:]GOGGLES ❑RESPIRATOR 5a HARD HAT <br /> MAILING ADDRESS HTY-VEK [:]OTHER <br /> Navy _ <br /> CITY,STATE,,ZIP dye _ _ SPECIAL HANDLING PROCEDURES <br /> - - - <br /> Skid l*_CA 95206 <br /> PHONE <br /> 4707 <br /> COON7ACT ERS0N <br /> 7uy bicilre�h <br /> SIC,NATUR F AUTHORIZED AGENT / TITLE_ DATE <br /> WA TYPE _ RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • DISPOSAL SOIL ❑ WOOD <br /> CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> El STOCK PILE El OTHER MANTECA, CALIFORNIA 95336 <br /> 0E11NIMIATING FACILITY _ _ (209) 982-4298 PHONE <br /> 3300 West bane,Stpclldoq CA <br /> (209) 982- 1009 FAX <br /> NAME <br /> TRACTOR LIC # <br /> 4(pro f:3 TRUCK NUMBER <br /> ADDRkS _ _ TF3AFLER LIC # `19ZU" <br /> • CCTY,STATE,ZIP -- �I LL - �� %_-C} TRAILER LIC # <br /> i <br /> END DUMP 130TTOM DUMP TRANSFER <br /> SIG NAT R OF AUTHORIZED AGENT OpDRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> i } <br /> ' FQRYVARPtJNC. LANDFIL' L ' URIC YARD <br /> Forward sh9have no obligation to accept) a waste if weather or other <br /> conditions impair tfle safe and effective disposal�of the waste or if the waste <br /> impairs the safe and effective operation of th2 Landfill Forward shall use DISPOSAL METHOD (TO BE COMPLETED BY FORWARD) I <br /> reasonable refforts to promptly notify Disposer of its inability to accept the DISPOSE BIO AERATE STWKPIU OTHER <br /> waste for any reason If Forward's refusal to accept the waste is based on <br /> weather oriother site conditions,Forward shall notify the Disposer when site IL ' <br /> ' 1,c,endifions tare expected to change such that Forward will be able to accept { <br /> the waste <br /> • REK RKS ❑ SLUDGE <br /> . t _ - x _ _ _ _ - ❑ NON-FfifABLE <br /> FACILFT_ TIC T NUMB t -- — ASSEsros <br /> _ <br /> L1 WOOD <br /> SIGNATU_ O�Ur O A ENT <br /> ❑ ASH 1 <br /> ❑ OTHER a f <br /> SCHEDUtWG MUST BEM E PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE # <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 GENERATOR COPY 624664 ; <br /> F01(C9511NH)6 96 MANIFEST# C <br />