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f NON-HAZ�OUS WASTE MANIFEST <br /> 4"ARDF irA; I , WASTE TREtv,&NT AND DISPOSAL FACILfTY , <br /> JOB ACCEPTANCE�110Cmmx - 128 <br /> � l <br /> GENERATOR RE(*JIRED PERSONAL PROTECTIVE EQUIPMENT <br /> THRIFTY OIL COMPANY ❑GLOVES ❑GOGGLES [:]RESPIRATOR [:]HARDHAT <br /> 961dN6 ADDRESS - --t TY VEK OTHER - <br /> 100000 CAKE-W-0-0D B l VD . SPECIAL HANDLING PROCEDURES <br /> CI_TY_,STATE,ZIP _ ���'�'zb��` � " <br /> DOWNEY,_�CA _90240 <br /> PHONE <br /> . - 310=923=9 s -- <br /> CO_ NTACT PERSONF <br /> PETER <br /> SIGNATPRE F'AUTHORIZED AGENT/ TITLE _ _ DATE <br /> WAST TYPE _ _ _ _ _ _ _ RECEIVING FACILITY <br /> - ❑ SLUDGE t <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • p 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. '1I1_SON WAY L <br /> STOCKTON , CA - <br /> NAME _ _ NOTES TRUCK NUMBER <br /> RICH HAMILTONTRUCKING _ <br /> ADDRESS <br /> 1335 PAULINE AVE . LOAD #24 <br /> CITY, STATE, ZIP _ <br /> MODESTO , CA 95358 <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> 209-573-4100 © 1:1 1:1„ <br /> SIGNATURE OF AUTHOPIZED AGENT OR DRIVER DATE _ ROLL-OFF(S) FLAT BI=D VAN _DRUMS <br /> f /c V ❑ ❑ ❑ ❑ <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 <br /> reasonable efforts to promptly notify Disposer of its inability to accept the DISPOSE_ BIO AERATE STOCKPILE —OTHER <br /> waste for any reason If Forwards 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 wilt be able to accept <br /> the waste ❑ SLUDGE <br /> � REMARKS _ - S_ <br /> NON-FRIABLE <br /> FACILITY TICKET NUMBER <br /> _ _ _ WOOD <br /> SIGNATURE <br /> SIGNATURE OF AUTHORIZED AGENT T DATE_ 1 _ <br /> C,,( - ❑ ASH <br /> ❑ OTHER <br /> Sc ULI UST 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 W1* LANDFILL THE DAY BEFORE <br /> TO SCHEDULE CALL (209)982-4198 <br /> IFEST # 2 6 5 4 <br /> ` MAN <br /> TRANSPORTER COPY <br />