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FORWARD �- NON-HAZARDOUS WASTE MANIFEST <br /> ,f WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. <br /> crag —��ea `- <br /> GENELiATQR _REQUIRED PERSONAL PROTECTIVE_EQUIPMENT <br /> T1iR1UY_ OIL.,,Co�� []GLOVES []GOGGLES ❑RESPIRATOR [:]HARD HAT <br /> MAILING ADDRESS _ -<� _ _ ❑TY VEK ❑OTHER <br /> 100000_ LAKF_WOQD_Q_L U, _ <br /> CITY,STATE, ZIP 1 SPECIAL HANDLING PROCEDURES <br /> • DOWNEY# CA_ 90240- <br /> PHONE <br /> 310-923-9876 <br /> CONTACT PERSON - - — — -�- -- -�- <br /> P TER ' AMICO <br /> SIGNA RE OF J' UTHORIZED AGENT/TITLE DATE <br /> WASTE TYPE RECEIVING FACILITY <br /> Y <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> • E3 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 =7 (209) 982- 1009 FAX <br /> 1250 N. WILSON WAY <br /> STOCKTON CA <br /> NAME ,, _' : _ _ '_ _ - NOTES ' -TRUCK <br /> �rNUMBER <br /> RICH HAMILTON TRUCKING <br /> ADDRESS <br /> 1336 PAULINE AVE . LOAD #11 <br /> CITY, STATE,ZIP <br /> MODESTO , CA 95358 <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> 209-578-4100 ® ❑ ❑ <br /> SIGNATURE OFAUTH RIZED A ENT OR DRIVER DATE ROLL-OFF(S) 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 <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 810 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�srt <br /> ' conditions are expected to change such that Forward will be able to cce <br /> the waste _ ❑ SLUDGE <br /> ` REMARKS <br /> - -- - NON-FRIABLE <br /> FACILITY KET NUMBER <br /> ASBESTOS <br /> i, - - - - — - _ ❑ WOOD <br /> SIGNAfU AU*ORI ENT Db--- - -� - <br /> I ' f161 ❑ ASH <br /> � <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 h' MANIFEST # 27641 <br /> TRANSPORTER COPY <br />