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NON—HAZC-)OUS WASTE MANIFEST <br /> ' ■/� � - - _' WASTE TREA,MINT LAND DISPOSAL FACILITY <br /> INC. JOB ACCEPTANCE NO. FTmm ` -7 a 2188 <br /> GENERATOR -- --` _ _ REQUIRED PERSaNAL PROTECTIVE EQLIPMENT =_— <br /> THRIFTY O I L—00 M P A N �-} ❑GLOVES ❑-GOGGLES❑ Q RESPIRATOR HARD HAT <br /> MAILING ADDRESS__ A� ❑TY-VEK rEOTHER <br /> laaaoa LAKEWOOD BLVD. <br /> _ __ _ __�_ SPECIAL HANDLING PROCEDURES <br /> CITY,STATE, ZIP_ _ _ <br /> • DOWNEY, CA-90240�v_ <br /> PHONE - <br /> 31a-923-9876 <br /> CONTACT PERSON - _ --- - -- <br /> PETER 0 ' AMICa <br /> SIGNATURE OF AUTHORIZED AGENT/TITLE v DATEE <br /> f j <br /> WASTE TYPE f RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • ❑ DISPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (20 <br /> N . 9) 982-4298 PHONE <br /> THRIFTY OIL <br /> 1250 N . WILSON14AY (209) 982- 1009 FAX <br /> STOCKTON , CA <br /> NAME k _ �_ u ` `NOTES - a ="t3PK NUMBER <br /> RICH HAMILTON XR19KIKIP49 TROCKING <br /> ADDRESS <br /> 1338 PAULINE AVE`. LOAD #3 <br /> CITY, STATE, ZIP .0 <br /> MODESTO , CA 95358 <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> 2C9-578--4100 g] ❑ ❑ <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE _ ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> r FORWARD INC. LANDFILL CUBIC YARDS f` w <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 /> 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 will be able to accept <br /> the waste ❑ SLUDGE <br /> REMARKS <br /> ' _ - NON-FRIABLE <br /> 4CILITY TICKET NUMBER ASBESTOS <br /> - <br /> - - - - — ❑ WOOD <br /> - S19NATURE OF AUTHORIZED AGEN_i' DATE_ <br /> 1 _ ❑ ASH <br /> I r - —�l� ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4 Oa 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 /> 7'O SCHEDULE CALL(209)982-4298 MANIFEST # 2 7 v <br /> ` TRANSPORTER COPY <br />