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,, f _ NON—HAZE--)OUS WASTE MANIFESTT t <br /> urdo" WA � .,�.�.� WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO: L. cff <br /> M -=—�i��� � <br /> s <br /> GENERATOR _ _ y.- REQ!j fR }PERSONAL PRQ ECTIV E UIPMFNT . <br /> THRIFTY-OIL C O M_P_kN Y_ [:]GLOVES ❑GOGGLES [:]RESPIRATOR ❑HARD HAT <br /> MAILING ADDRESS _ F__ ❑TY-VEK ❑OTHER <br /> _ 1000 0 LAKEWODE} *WBLYD:.__ <br /> CITY STATE, ZIP SPECIAL HANDLING PROCEDURES <br /> • DO_WNEY, -CA 90240 <br /> PHONE <br /> 310-923-9876 <br /> CO_N . <br /> TACT PERSON <br /> PETER D ' APIICO <br /> SIGNAD AGEN / TITLE - DATE r <br /> WAST YPE ` RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • ❑ DISPOSAL SOIL ❑ 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 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 --x _ �-- NOTES `t _ _ _ -_ `TRUCK NUMOER <br /> RICH HAMITLON TRUCKING ? Z q <br /> ADDRESS - i 1 <br /> 1336 PAULINE AVE . LOAD-#- 9 <br /> • CITY,STATE, ZIP <br /> • MODESTO , CA 95358 <br /> PHONE END QUMPBOTTOM DUMP TRANSFER <br /> 209-578-4100 E _­- ❑ ❑ <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL 8r FLAT-BED VAN DRUMS <br /> 1�- ❑ ❑ ❑ <br /> CUBIC)(ARDS_ <br /> FORWARD INC. LANDFILL _ t _ <br /> -- - - <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 DISP S ET 00 (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 _ W DISPOSE BIO AERATE STOCKPILE OTHER <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 site OIL <br /> ' conditions are expected to change such that Forward will be able to accept' <br /> the waste ❑ SLUDGE <br /> • REMARKS r _ _ <br /> — - - - - -- - _ <br /> ❑ NON-FRIABLE <br /> ILf <br /> FACfY TICKET NUMBASBESTOSER - <br /> J - -- - - - -- - - - _ ❑ WOOD <br /> - <br /> SIG NA F TH IZED —NT f — — — — DATE— <br /> — — � --- — —----- ❑ ASH <br /> s <br /> -�'L `� ��� ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR y6 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)982-429$ 3 t MANIFEST # 2l 6 3 9 <br /> TRANSPORtEA COPY <br />