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NON-H DOUS WASTE MANIFEST <br /> pwwAmu <br /> . WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. CMA. wtlw= 12186. ,!, <br /> GENERATOR, �. .. _ .. �. .. ._ REQUIRED—PERSONALPERSONAL❑GOGGLEO gC PMEN�'_-_ <br /> THRIFTY OIL COMPANY E]GLOVES RESPIRATOR ❑HARD HAT <br /> _MAILING ADDRESS7 ---7 Y ' s ' = ❑TY VEK [:]OTHER_ �.v .r k - _ �� � ,_. <br /> 106040 LAKWQO© BLVD. SPECIAL HANDLING PROCEDURES <br /> CfIY,STATE,ZIP <br /> • DOWNEY CA 90240 <br /> - PHONE <br /> _-� _310-923-987fi <br /> CONTACT-PERSON— <br /> _ <br /> PETER v * At4IC0 <br /> SIGr URE - UTHORIZED AGENT f TITLE _ DATE <br /> WASTE TYPE _ _ _ RECEIVING FACILITY <br /> ;v <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 /> SX 1250 N . WILSON WAY <br /> STOCKTON , CA <br /> NAME ,� i NOTES _ TRUCK/NUMBER <br /> RJEH HAMILTON TRUCKING <br /> ADDRE <br /> 33PAULINE AVE. LOAD # 20 <br /> • CITY, TAT , ZIP <br /> JODESTO, CA 95358 <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> 209-578--4100 U ❑ ❑ <br /> SIGNATURE OF AUTHORIZED APENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> f <br /> ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> / {r <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 theDISPOSE BIO AERATE SMCKPILE OTHER <br /> waste for any reason If Forward's 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 will be able to acce <br /> the waste ❑ SLUDGE <br /> REMARKS <br /> - - NON-FRIABLE <br /> ❑ ASBESTOS <br /> FACIATICK <br /> ❑ WOOD <br /> SIONAI R OF RIZED ACEI _ DATE — <br /> �j ❑ 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 65 O <br /> TRANSPORTER COPY <br />