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�- NON-HAZARDOUS WASTE MANIFEST <br /> F*RWARD WASTE TREATMENT AND DISPOSAL FACILITY <br /> INC. JOB ACCEPTANCE NO. <br /> ANIL 7 REQUIRED PERSONAL I? IE <br /> OTEGTNEQUIPMEI9Te1 <br /> � <br /> GENERATOR _ ,.' � - �-� .�- <br /> THRIFTY Q I L <COMPANY p GI_ovEs [:]GOGGLES [—]RESPIRATORHARD HAT <br /> MAILING ADDRESS �. ;M° ❑TY VEK ❑OTHER <br /> 100040 LAKEWOOD BLVD. _� . �- SPECIAL HANDLING PROCEDURES <br /> CITY,STATE, ZIP - _ <br /> • DOWNEY, CA 90240 _ <br /> PHONE t <br /> 310-923-9876 <br /> CONTACT PERSON <br /> a <br /> PETER D ' AMICO <br /> SIGNATURE OF AUTHORIZED A�OTLE DATE <br /> WASTE T E RECEIVING FACILITY <br /> ❑ SLUDGE= <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • ❑ 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 ff209) 982- 1009 FAX <br /> 1250 KAXA N . WILSON WAY 1 <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 /> 140DESTO , CA 95355 <br /> • END DUMP BOTTOM DUMP TRANSFER <br /> PHONE <br /> 20q-579-41x10 0 El 13 <br /> SfGNA'�U, E OF AUTFtgRIZED SENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL CUBIC YARDS <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 DISPOSE BIO AERATE jsTocKPiLE OTHER <br /> reasonable efforts to promptly notify Disposer of its inability to accept the <br /> waste for any reason If Forward s refusal to accept the waste is based on SOIL <br /> weather or other site conditions Forward shall not:fy the Disposer when site <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste ❑ SLUDGE <br /> REMARKS NON-FRIABLE <br /> ❑ ASBESTOS <br /> FACILITY TICKET NUMBER <br /> ❑ WOOD <br /> SIGNATURE OF AUTHORIZED AGENT y DATE <br /> ❑ ASN <br /> OTHER <br /> 7k 1 1�i 1 ❑ <br /> SCHEDULING-MUST BE MADE PRIOR TO 4.00 P M THE DAY PRIOR TO EXPECTED ARRIVAL a ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE c FORE. <br /> TO SCHEDULE CALL(209)982-4298 MANIFEST # 27637 <br /> t TRANSPORTER COPY <br />