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WARD <br /> NON-H DOUS WASTE MANIFEST <br /> a F Rmammi IWASTE TREATMENT AND DISPOSAL FACILITY <br /> 1Nt. JOB ACCEPTANCE NO. i , <br /> �c� " r <br /> a <br /> G IVERATOR a xREQUIREIy PE_R�PftO�CTIVE EQUIPME � 'Z <br /> ,T. - _ <br /> HRIFTY_0I€� CQMEI3NY [:]GLOVES [:]GOGGLES [:]RESPIRATOR ❑HARD HAT <br /> MAILI G ADDRESS « u _ : g ; " , +x ❑TY-VEK ❑OTHER <br /> 10:R066 _L A K EWO_0A_L BV D, _ SPECIAL HANDLING PROCEDURES <br /> GM STATE,ZIP <br /> • [?{]WII~Y CA 90240 <br /> PHONE- - <br /> 310-923-9876 <br /> CONTACT PERSON <br /> PETER D ' AM-�p <br /> SIGNATURE _AUTI 10 ED AGENT/TITLE DATE <br /> * WASTE TYP ` RECEIVING FACILITY <br /> Y 1 - - [3 SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-F%P6 ASBESTOS FORWARD INC LANDFILL <br /> • ® DISPOSAL SOIL ❑'WO9D` ( '' 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL _M' T, - <br /> �0�' E�P' MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY _ (209) 982-4298 PHONE <br /> THRIFTY OIL <br /> 1250 N. WILSON WAY (209) 982- 1009 FAX <br /> STOC4TON, CA <br /> NAME NOTES TRUCK NUMBER <br /> RICH HAMILTON TRUCKING -, <br /> ADDRESS f f <br /> 1336 PAULINE AVE . LOAD 434 4 ; <br /> • CITY, STATE, ZIP _ <br /> • MODESTO , CA 95358 <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> 209-5-78-_4100 ❑ <br /> SIGNATUREO HORIZED AGENT OR DRIVER DATE ROLL-OFFS) 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 / 0, <br /> conditions impair the safe and effective disposal of the waste or it the waste DISPO A ETHOD (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 elp- AERATE sTOCx�LI OTHER <br /> waste for any reason If Forward's refusal to accept the waste is based on OIL <br /> or other site conditions, Forward shall notify the Disposer when ss <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 /> SIGNATUREfOF ORIZ AGENT t-- - DATE <br /> / - - - �j - ❑ ASH <br /> 'C ' ❑ OTHER <br /> SCHEDULING MUST BE MADE P 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 C, <br /> MANIFEST # 27664 <br /> TRANSPORTER COPY <br />