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NON—H OUS WASTE MANIFEST <br /> I WMWARD . 4'" _ WASTE TRENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCNS+,�r. 1288 n <br /> ., - <br /> M r <br /> � f=tEQE�{RED�F iS 1AL P TF(: VE EQUIPMgNT <br /> THRIFTY-OIL COMPANY []GLOVES []GOGGLES ❑RESPIRAT05 [:]HARD HAT <br /> ILI <br /> MANGADDRE � - _� `^ _ ❑TY-VEK ❑OTHER <br /> _ _1_fl0_0_66LAKEWOOD BLVD. SPECIAL HANDLING PROCEDURES <br /> C_ITY,STATE,ZIP__ "I _ - _ - -=- f <br /> + DOWNEY CA �90240 <br /> - PHONE - <br /> 31D-923-9876 �-- <br /> CONTACT PERSON _ " _ - ---�'— -- <br /> _P ETER D ' AMTCV <br /> SIGNAT RE OFA —ORIZED AGENT f TITLE DATE <br /> WASTEtjfYPE-- -- IN-1 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 <br /> 1250 N . WILSON WAY (209) 982- 1009 FAX <br /> STOCKTON , CA <br /> NAME NOTES TRUCK NUMBER <br /> RICH HAMILTON TRUCKING <br /> ADDRESS M - ( <br /> 1336 PAULINE AVE. LOAD #18 <br /> • CITY, STATE,ZIP <br /> MODESTO , CA 95258 <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> 209-578-4100 13 ❑ ❑ <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> �r ❑ ❑ ❑ ❑ <br /> ,FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste if weather or other 1 S <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 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 /> + <br /> REMARKS - - <br /> " ❑ NON-FRIABLE <br /> ASBESTOS <br /> FACILITY TTCK�T NUMBER r <br /> I / - _ - - ❑ WOOD <br /> 51GN fURE�OF} 6THOR- ED AGENT DA__EW_ <br /> v jj ❑ ASH <br /> %� � {(L ❑ 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 LANDFILLTHE DRAY BEFORE <br /> TO SCHEDULE CALL t2091982-4298 MANIFEST * 27648 <br /> TRANSPORTER COPY <br />