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NOWFIAZ ,, JOUS WASTE MANIFEST <br /> WARU"" Y - WASTE TREATMENT AND DISPOSAL FACILITY <br /> 1NCs I t JOB ACCEPTANCE NO. =-r <br /> _ -cM� <br /> sz�s� <br /> ft_ - <br /> GENERATOR -_a REQU_ISE RSONAL i?ROTEGTIVE EQUIPMEf T =_ <br /> THRIFTY OIL_ COMPANY ❑GLOVES [-]GOGGLES []RESPIRATOR ❑HARD HAT <br /> MAILING ADDRESS _ F _ �i ❑TY VEK [:]OTHER <br /> 100000 LAKEWOOD BLVD.— SPECIAL HANDLING PROCEDURES <br /> _ DOWNEY, CA_ 90240__ <br /> PHONE <br /> ' 37.0-923-98. 76 <br /> CONTACT PERSON <br /> PETER D '�AMICO _--__-- <br /> SIGNATURE 6F/AUTHORIZED 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 /> THRIFTY OIL (209) 982- 1009 FAX <br /> 1250 N. WILSON WAY r <br /> SfOCKTON , CA -' <br /> NAME NOTES TRUCK NUMBER <br /> ADDRESSCH HAMILTON TRUCKING 94/7 6? <br /> 1336 PAULINE AVE._ COAD #27 <br /> CITY,STATE, ZIP _ <br /> MODESTO , CA 95358 <br /> PHONE s END DUMP BOTTOM DUMP TRANSFER <br /> 209-578-41000 ElSIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE _ ROLL-OFFS) FLAT-BE VAN DP?UMS <br /> &:t� L1_�=/ ]- <br /> FORWARD INC. LANDFILL CUBIC YARDS--_ --- <br /> - . _ - <br /> Forward shall have no obligation to accept the waste Ifweather or other <br /> 5 <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 i0 inability to accept the DISPOSE BIO AERATE STOCKYELE QTWI<R <br /> waste for any reason If Forward's refusal to accept the waste is based on <br /> weather or other site conditions Forward shall notify the Disposer when site 81L <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 /> ASBESTOS <br /> FACILITY TICKET NUMBER <br /> - -- _ -- ---- - -- - -- ❑ WOOD <br /> SIGI F E At f THORI D AGENT", _ �ATfE{�_T_ <br /> �r/6 - 9 ❑ ASH <br /> 7C ❑ OTHER <br /> SCHEDULING MUST 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 # 27657 <br /> TRANSPORTER COPY <br />