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WARD <br /> NON-HW_)0_ US WASTE MANIFEST <br /> Ar _ WASTE TREATMENT AND DISPOSAL FACILITY <br /> JCB ACCEPTANCE NO. <br /> GENERATOR - _ - - AE4UIRED PERSf?NAI;PF QTIr(MT EQUIPMENT_ <br /> THRIFTY___0_I _C0MP Y []GLOVES ❑GOGGLES El RESPIRATOR [:1 HARD HAT <br /> MAILING ADDRESS_ . t �U I--�- r,-` ❑TY VEK [:]OTHER <br /> • _1OOOOO_LAKE*QO-P'7 D__ SPECIAL HANDLING PROCEDURES <br /> CITY STATE, ZIPS _ —_ _'__ _ <br /> • DOWNEYF-_CA 9_024O_ -______ <br /> PHONE <br />•� 310-923-9875_ <br /> CONTACT PERSON_ J <br /> PETER D ' AMIGO _-- <br /> SIGNATURE OF AU,�HCURZIA D �LE f* _ 'DATE <br /> i f rIr � <br /> WASTE TWE - 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 <br /> 1250 KAXX N . WILSOP WAY (209) 982- 1009 FAX <br /> STOCKTON , CA <br /> NAME NOTES TRUCK NUMBER <br /> RICH HAMILTON TRUCKING <br /> ADDRESS <br /> 1336 PAULINE AVE . LOAD # 7 <br /> CITY, STATE, ZIP <br /> MODESTO, CA 95358 <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> 209-578-4100 El ❑ ❑ <br /> 31111 U,U E OF AUTH RIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> f - 9 <br /> ❑ ❑ ❑ ❑ <br /> r r; <br /> w� <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste if weather �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 /> reasonable efforts to promptly notify Disposer of its inability to accept the DISPOSE 8110 AERATE STOCKPn.E OTHER <br /> waste for any reason If Forward s refusal to accept the waste is based on r <br /> t weather or other site conditions Forward shall notify the Disposer when site E:1SOIL <br /> • conditions are expected to change such that Forward will be able to accept <br /> the waste _ ❑ SLUDGE <br /> � REMARKS - - - - - - - - — - <br /> ------_ - - NON-FRIABLE <br /> FACILITY TICKET NUMBER W - — _ - r_ ❑ ASBESTOS <br /> E] WOOD <br /> SIGNATURE OF AUTHORIZED AGENT r ad <br /> ❑ ASH <br /> ❑ OTHER <br /> r <br /> SCAEOULINIG')IAUST 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 MANIFEST # 2 7 V 3 7 <br /> I TRANSPORTER COPY <br />