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NON-HA' <br /> OUS WASTE MANIFEST <br /> WARD <br /> WASTE TREENT AND DISPOSAL FACILITY <br /> 6E <br /> � _ <br /> J06-ACUPTAN <br /> 4* 71L <br /> °•, <br /> GENERATOR REQUIRED-PERSOMAL PROTECTIVE EQUIPMEW -P,- <br /> THRIFTY OIL COMPANY ❑GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> MAILING AD0DRESSF - ,`-s' t`= �, ❑TY-VE K ❑OTHER <br /> 10 <br /> _ - 000LAKEWOOD BLVD. _ <br /> • CITY STATE,ZIP SPECIAL HANDLING PROCEDURES <br /> • _ _ DOWhEY, CA 90240 <br /> - <br /> 3l0=-923-9-8-&_ <br /> CONTACT PERSON <br /> -�_ _—_-�- <br /> SIGN TURE OF UTHORIZED AGENT! TITLE DATE <br /> WASETYPE _ _ _ 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 NOTES _'TRUCK NUMBER <br /> RICH HAMILTON TRUCKING ' <br /> ADDRESS 145_0 <br /> 1336 PAULINE AVE. LOAD # 14 <br /> • CITY,STATE, ZIP <br /> MODESTO , CA 95358 <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> 209-578--4100 0 ❑ ❑ <br /> SIGNATURE OF�AUTHOI jIZED AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS <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 <br /> reasonablekefforts 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 <br /> weather or other site conditions, Forward shall notify the Disposer when si OIL <br /> conditions are expected to change such that Forward will be able to a <br /> the waste _ ❑ SLUDGE <br /> • REMARKS <br /> - - - NON-FRIABLE <br /> FACILITY TICKET NUMBER ASBESTOS <br /> -_ _ _ _ - --_ - - - - ❑ WOOD <br /> SIGf ATggE A HORI ED AGENT - DATE <br /> ' � � �_ �� <br /> * ASH <br /> � <br /> ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR O 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 4 4 <br /> TRANSPORTER COPY <br />