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. <br /> WARD <br /> NON-HAZARDOUS WASTE MANIFEST <br /> ' WASTE TREATMENT AND DISPOSAL FACILITY <br /> '111,41INC. JOB ACCEPTANCE NO. CMM -. 12as r <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> THRIFTY OIL COMPAV _ _ ❑GLOVES [_]GOGGLES E]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 /> 310-923-9870" <br /> CONTACT PERSON <br /> PETER D ' AMICO <br /> SIGNATUR,E OF AUTHORITED AGENT/ TITLE DATE <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 /> Trig 3 QTY OI' (209) 952- 1009 FAX <br /> 1250 =J IILLst"3,a ',I,�Y <br /> S T 9CKTON , CA <br /> NAME NATES TRUCK NUMBER <br /> RICH ISA+SIL r0N! TRUCKINGNOTES <br /> ADDRESS �_/ <br /> 1335 PAW--INE AVE . LOA04 39 <br /> CITY, STATE, ZIP <br /> YS)�cSr�J , f; a?59 <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> 2 iJ'-L-:5--7,2-4 1 JO E3 ❑ ❑ <br /> SIGNATLl�tE Q.F/A TTORIZED AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL CUBIC YARDS' <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 DISPOSE BIO AERATE STOCKPILE OTHER <br /> waste for any reason If Forwards refusal to accept the waste is based on [1-801Lweather 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 /> ❑ <br /> FACILITY TICKET NUMBER ASBESTOS <br /> ❑ WOOD <br /> SIGNATURE OF AUTHORIZED AGENT DATE <br /> ❑ ASH <br /> ^ I ! f <br /> *� ! + ❑ OTHER <br /> SCHEDV)LINq MYJST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TOUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> TO SCHEDULE CALL. (209)982-4298 MANIFEST # 27671 <br /> GENERATOR COPY <br />