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NON-HAZC7OUS WASTE MANIFEST <br /> RVARD s;,,� - WASTE TREAT MENT AND DISPOSAL FACILITY <br /> JR.Ww" T <br /> JOB ACCEPTANCE NO. K � �. 128'8 <br /> y - <br /> � � 4 <br /> GENERA—,R- t, _ _ sv `4 _ EQQIRED PERSONAV�OTECTIVE EQUIPMENT` _..._... <br /> _ THRIFTS OIL AN Y.�� f ❑GLOVES GOGGLES ❑RESPIRATOR HARE) HAT <br /> MAILING ADDRESS_ _ - _ ❑TY-VEK C]OTHER <br /> 100000—LAKEkO0D 1j .MDt• -- - - —r SPECIAL HANDLING PROCEDURES <br /> CITY,STATE, QIP " <br /> _ _ _ <br /> OOWNEY,_CA-90240—„„,�- <br /> PHONE <br /> 310--923-9876 <br /> CONTACT PERSON_ <br /> PETER D ' RMIC�O <br /> SIGNATURE OF, AUTHORIZED AGENT/ TITLE DATE — <br /> .. <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 TR <br /> RICH HAMILTONOTES TRUCK NUMBER <br /> HAMILTON <br /> ADDRESS C� <br /> 1335 PAULINE AVE . LOAD # 29 <br /> * CITY,STATE, ZIP <br /> MODESTO , CA 95358 <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> 209-578-4100 E2 ❑ ❑ <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> f / ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> ' Forward shall have no obligation to accept the waste if weather or other l <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 DISPOSE BIO AERATE STOCKPILE OTHER <br /> reasonable efforts to promptly notify Disposer of its inability to accept the _ <br /> waste for any reason If Forwards refusal to accept the waste is based on <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 E SLUDGE <br /> • REMARKS - - - - <br /> NON-FRIABLE <br /> _ ___ _ _ .. _ _.. ,� ___ ❑ <br /> FACIUTY jICKET,NUMBER ASBESTOS <br /> 1 - - -- - _ - ❑ WOOD <br /> SIGrNATUF AUTHORIZ D AGENT <br /> � - <br /> WN <br /> � ASH <br /> ❑ 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 # 2 7 6 5 9 <br /> TRANSPORTER COPY <br />