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' NON-HAZARDOUS WANE MANIFEST <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> JMWARD <br /> JOB ACCEPTANCE NO. <br /> OENl�" TDR <br /> REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br />' THRIFTY OIL COMPANY _ [:]GLOVES ❑GOGGLES ❑RESPIRATOR E]HARD HAT <br /> MAILING A -- v """" ' , A _ ❑ ❑ <br /> TY-VEK OTHER <br /> �B --LAREff�OOD BLVD-- � '�- r- <br /> CITY,STATEPMMEY,CA,.90240 SPECIAL.HANDLING PROCEDURES <br /> PHONE " <br /> 310-923-91876 <br /> CONTACT PERSON__ __ - Y = _ -- -_7 _- <br /> RAYMOND FRIEDRZCHSEN <br /> SIGNATURE OF AUTHORIZED AGENT/TITLE d DATE_ <br /> WASTE TYPE RECEIVING FACIiJTY <br /> ❑ SLUDGE , <br /> TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> DISPOCONSTRUCTION <br /> SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> CONSTRUCTION SOIL Ll ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATIN�FfGM OIL COMPANY �(209� 982-4298 PHONE R <br /> 1 A7 PAC?N':V AVENUE - <br /> (209) 982- 1009 FAX <br /> STOCKTGN, CA <br /> NAME NOTES- NUMBER <br /> DENSESTE TRANSPORTATION, INC . <br /> ADDRESS �+ <br /> • CIT' `STATAR SHILOH RD #44 C,?aVo� 0010 <br /> • f'INDSOR, CA 95492 7 7.3 + <br /> PHONE 70% 838-1407 END DUMP BOTTOM DUMR*� OTRAIkWo <br /> ❑ ❑ <br /> 51GNA -yJTHOR AGENT OR DRIVER DATE ROLL-0FF(S) FLAT-BED VkNVW� <br /> FORWARD INC. LANDFILL _ CUBIC YARDS <br /> Forward shall have no obligation to accept the waste if weather flr-older <br /> Conditions Impair the safe and effective dm)osal of She waste or d the�feraste IMSPOSAL METHOD' (TD Be <br /> wnpmrs the safe and effective operation of the Landfill. Forward shall use ._-`- ,. <br /> reasonable efforts to prornpay not,fy 11sposer of ds na"hty to accept the '4 <br /> waste for any reason It Forward s refusal to accept the waste rs based an z r <br /> weather or other site condltx m Forward shalt notify the Disposer when site SOIL - <br /> ` conditions are expected to change such that Forward will be able to accept - <br /> ` the waste ❑SLUDGE - <br /> NON-FRIA <br /> Fi4C,UTY TICKE=T NUMBER ��_ '''sem= ;-=��:w•:� ❑ S8ES7US� <br /> } OF AUTHORIZED AG ' � ,~J f�~11-TE 4 ❑ WOOD <br /> -- <br /> �� ❑ ASH . i <br /> -L ❑ OTHER <br /> SCHEDULING-MUST BE MADE PRIOR TO V06 P.M THE DAY PRIOR TO EXPECTED ARRlv4L)*-ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE4p4E(KJLED-VV"THE LANDFILL THE DAY BEFORE:. <br /> TO SCHEDULE CALL (209)982-4298 <br /> GENERATOR COPY MANIFEST # C 9563 <br />