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NON-HAZARDOUS WASTE MANIFEST <br /> WARDWASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. <br /> — CMM �` 1288 <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> THRIFTY OIL COMPANY ❑GLOVES [:]GOGGLES []RESPIRATOR C]HARD HAT <br /> MAILING ADDRESS ❑TY-VEK ❑OTHER <br /> 100000 LAKEWOOD BLVD. SPECIAL HANDLING PROCEDURES <br /> CITY, STATE,ZIP <br /> • DOWNEY, CA 90240 <br /> PHONE <br /> 310-923-9876 <br /> CONTACT PERSON <br /> PETER D ' AMICO <br /> SIGNARE OF AI ITHO IZED AGENT / TITLE } DATE /1 <br /> */ ` 0-aw f- /��•-�� <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • © DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> T'-IRIgTY OIL <br /> 1250 ,, . WII snm q4Y (209) 982- 1009 FAX <br /> STOC�(TOH , CA <br /> NAME r___ _ __ NOTES _ - TRUCK NUMBER <br /> RICH HAMILT9."' TgUCKI`JG <br /> ADDRESS ' <br /> 1336 PAULINE AVE . LOAD # Al <br /> • CITY, STATE, ZIP <br /> ,9i DE31 O , CD, 95358 <br /> PHONE END DUMP 80TTOM DUMP TRANSFER <br /> 2c,3--579-410: © ❑ ❑ <br /> SIGNATURE)DF At,JTRORIZED AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> // ❑ ❑ ❑ ❑ <br /> 4 <br /> FORWARD INC. LANDFILL cuBcYARas <br /> Forward shall have no obligation to accept the waste if weather or other I " <br /> condrtmons 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 DISPOSE BIO AERATE STOCKPILE OTHER <br /> reasonable efforts to promptly notify Disposer of its inability to accept the <br /> waste for any reason If Forwards refusal to accept the waste is based on ❑ SOIL <br /> weather or other site conditions Forward shall notify the Disposer when site <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 /> 71 1_Lf' �l ❑ OTHER <br /> SCHEDULING f1fLUST BE MADE 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 MANIFEST # 2 7�c+v f73 <br /> GENERATOR COPY <br />