Laserfiche WebLink
WARD <br /> NONWAS-HAZARDOUS TREATMENT D DISPOSALANIFEST <br /> FACILITY <br /> Mr" JOB ACCEPTANCE NO. CMM - 1288 <br /> FGENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> HRIFTY OIL COMPANY [_]GLOVES []GOGGLES []RESPIRATOR ❑HARD HAT <br /> ADDRESS -_ A _ ❑TY-VEK ❑OTHER <br /> 00000LAKEWOOD BLVD . SPECIAL HANDLING PROCEDURES <br /> ATE, ZIP <br /> • DOWNEY , CA 90240 <br /> - PHONE <br /> 310-923-9876 <br /> CONTACT PERSON <br /> PETER D r AMICO <br /> SIGNATUR OF AUTHORIZED AGENT / TITLE L; 1- <br /> .. ` 9V <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • p DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> THRTFTY OIL <br /> 125:0 1 , ',1!L90•, 14AV (209) 982- 1009 FAX <br /> €'OCKTON CA <br /> NAME NOTES TRUCK NUMBER <br /> RICH HAOILTOINI TRUCKING C� <br /> ADDRESS <br /> LOAD x;52 <br /> 1336 P,8I)LI1`IE AVE <br /> • CITY, STATE, ZIP <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> 209-578-411,0 ED ❑ ❑ <br /> SIGNATURE ZH1,0RIZE AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> 1:1 El <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> tr <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 t (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 DISPOSE BIO AERATE 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 /> ~ REMARKS <br /> ❑ NON-FRIABLE <br /> ASBESTOS <br /> FACILITY TICKET NUMBER <br /> ❑ WOOD <br /> SIGNATURE OF AUTHORIZED AGENT DATE <br /> [] ASH <br /> • 'r J I� r!ti 1 vl ��f L��..f ❑ OTHER <br /> SCHEOULINC;„pAUST BE MADE PRIOR TO 4 00 P M THL~ 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 <br /> MANIFEST # 27679 <br /> GENERATOR COPY <br />