Laserfiche WebLink
WARD <br /> i�VIV-I-IHLHI�UVUJ 'VVHS I t NIHIVII'tJ I <br /> �- -, <br /> WASTE TREATMENT AND DISPOSAL FACILITY ' <br /> JOB ACCEPTANCE N0. <br /> GENERATOR .mss _ REQUIRED PERSONAL PROTECTIVE EQUIPMENTS <br /> T H R I F T Y OIL COMPANY _ [:]GLOVES C1GOGGLES E]RESPIRATOR [:I HARD HAT <br /> MAILING ADDRESS_ y „ ' � _ ❑TY-VEK ❑OTHER <br /> 100000 LAKEWOOD BLVD __ SPECIAL HANDLING PROCEDURES <br /> CITY,STATE,ZIP F s=, r `M}� F. <br /> . <br /> DOWNEYi zCA 90240 r <br /> • PHONE <br /> 310-923-9876 _ <br /> CONTACT PERSON <br /> PETER D ' AMTCO 4 <br /> SIG URE OFA AUTHORIZED AGENT/ T1TLE DA <br /> 11.,7 <br /> la <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> * 0 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 <br /> 1250 " . WILSOA =WAY (209) 982- 1009 FAX <br /> STOCKTON , CA <br /> NAME-12,,& y s r c:-_ n ms:+as�b^s^r+e+mow► fVItSC <br /> RICH HAMILTOPI TRUCKI',IG C 0 <br /> ADDRESS <br /> 1336 PAUL.INE AVE . LOAD #5 <br /> • CITY,STATE,ZIP <br /> • MODESTO , CA 95358 <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> 2C9-578-4100 0 ❑ ❑ <br /> SIGNATURE OF AU-O�ORIZED A(3ENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> n ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL cUBlc�Y`R°5 <br /> Forward shall have no obhgation to accept the waste if weather or other k <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 OIL <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 /> ❑ ASBESTOS <br /> FACILITY TICKET NUMBER <br /> ❑ WOOD <br /> SIGNATURE OF AUTHORIZED AGENT DATE <br /> .l <br /> ❑ ASH <br /> ❑ OTHER <br /> SCHI=DULIAWMUST 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 SCHED4'LE CALL(209) 982-4298 2 7 6 3 5 <br /> ` MANIFEST # <br /> TRANSPORTER COPY <br />