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WARD _ - - R NON-H US WASTE MANIFEST <br /> = WASTE TR ENT AND DISPOSAL FACILFI-Y <br /> JOB ACCEPTANCE NO. � <br /> GENERATOR __ r - ro: I�EQi IREtkPERSQt AL. FE+GTIVE ggUIPMEIff x _ ,.,. <br /> _—THRZ—FTY OIL COMPANY ❑GLOVES ❑GOGGLES ❑RESPIRATOR [-]HARD HAT <br /> _ � z r TY VEK OTHER <br /> MAIk,ING ADDRESS _ � � Q ❑ <br /> ._.. 100flOp LAKE�IOOD BLVD. - <br /> - - - - -SPECIAL HANDLING PROCEDURES ` <br /> CCfY,STATE,Z1P <br /> , <br /> DOWNEY,YCA 90240 <br /> N <br /> - PHOE <br /> 310-923—$876 <br /> CONTACT PERSON <br /> PETER D' AM C0 _ <br /> SIGNATU O U RIZED AGEN_ TIT <br /> T/ LE __ ' DATE__' ___ <br /> 7 <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 /> THRIFTY OIL 209) 982- 1009 FAX <br /> 1250 N . WILSON WAY <br /> STOCKTON , CA <br /> NAME NOTES TRUCK NUMBER <br /> RICH HAMILTOU TRUCKIMG <br /> ADDRESS d <br /> 1335 PAULINE AVE. LOAD 35 <br /> CITY,STATE,ZIP <br /> MODESTO , CA 95358 <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> 209-578--4100 X[n ❑ ❑ <br /> SIGNATURE OF AUTR1ZED APENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> 7k o(�2P yu I K ! - g qct <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste if weather or other �S <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 STXKPILE OTHER <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-wil4-be able to accept <br /> the waste - _ ❑ SLUDGE <br /> ~ REMARKS - <br /> -" - -- NON-FRIABLE <br /> _ _ _ _ �___ ❑ ASBESTOS <br /> FACILITY£TICKET NUMBER <br /> ❑ WOOD <br /> SIGNAT E OF THORiZED GENT - W DATE <br /> ❑ ASH <br /> (t //C ) ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOFj/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 # 27665 <br /> TRANSPORTER COPY <br />