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` <br /> FOR—WARD <br /> NON—HAZARDOUS WASTE MANIFEST <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> ^E7' JOB ACCEPTANCE NO. - C,a,a — 1289 <br /> GENERATOR _ REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> THRIFTY OIL COMPANY [-]GLOVES ❑GOGGLES [-]RESPIRATOR []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 /> 310-929-9878 _ <br /> CONTACT PERSON <br /> PETER D ' AMICO <br /> SIGNATURE OF AUTHOR171ED AGENT/ TITLE DATE <br /> I4/ <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> Ea DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> T174IFTY uIL (209) 982- 1009 FAX <br /> 1 -1513 "4 . ItILSOt! 1 , <br /> 9 TnrKTnN . f A <br /> NAME - NOTES - - - TRUCK NUMBER <br /> RICH WAMILTON TRUCKING LAAO � �4 ✓� , .�� <br /> ADDRESS <br /> 1.336 PAULINE AVE . <br /> CITY, STATE ZIP <br /> j'00l`75'10 , CA 95357,11? <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> try-~5`79 410Q ❑ ❑ ❑ <br /> SIGN ATU l}T�ORIZED AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> F , ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL cuIYARDS <br /> ` <br /> Forward shall have no obligation to accept the waste if weather or other <br /> condstions impair the safe and effective disposal of the waste or if the waste DIS OPAL 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 DISPOSE BIO 1 AERATE STOCKPILE OTHER <br /> waste for any reason It Forwards refusal to accept the waste is based on �501L <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 /> FACILITY TICKET NUMBER ASBESTOS <br /> ❑ WOOD <br /> ASH <br /> - SIGNATURI OF U H EDrGENT //9 T <br /> !?� �l.�` / �� ! ❑ <br /> /�/ /i i , ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL 0 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 6 8 7 <br /> GENERATOR COPY <br />