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- FW <br /> WA <br /> R� j NONTHAZARDOU WASE TREATMENTAND <br /> D SPOsMANIFEST <br /> INC: AL FACILITY <br /> JOB ACCEPTANCE N0. <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> - THRIFTY O I L rC O M P,�4 N Y r r ti ❑GLOVES ❑GOGGLES ❑RESPIRATOR []HARD HAT <br /> MAILING ADDRESS'-, ?: �y `� a,.� °Y=` ❑TY-VEK ❑OTHER <br /> _-.- a ..4. R^_:-. ,..'✓.a�: L..n: . h$a a - <br /> i00000 LAiCEWODD $l-VD. N SPECIAL HANDLING PROCEDURES <br /> CITY, STATE, -� -'r �' �' ' -"' <br /> DOWNEY, CA 30240 <br /> PHONE <br /> 310-923-9976 <br /> CONTACT PERSON <br /> PETER D ' AMICO <br /> SIGNATU6E6gTIC31I�ED AGENT/ TITLE DATE <br /> WASTE TYPE ' RECEIVING FACILITY <br /> 4� <br /> r <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • 0 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 (209) 982- 1009 FAX <br /> 1250 N . ,P'ILSON WAY <br /> STOCKTON , CA <br /> NAME -� t NOTES +, TRUCK NUMBER <br /> RICH HAMITLON TRUCKING !!11 <br /> ADDRESS V <br /> 133E PAULINE AVE . LOAD] 9 <br /> CITY,STATE ZIP <br /> r4101]E3T0 , CA 85358 <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> 209-578-4100 F� --- ❑ ❑ <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLA F{8Y FLAT-BED VAN DRUMS <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 DISP SA ETHOD (TO BE COMPLETED BY FORWARD) <br /> impairs the safe and effective operation of the Landfill Forward shall use y <br /> reasonable efforts to promptly notify Disposer of its inability to accept the DISPOSE 810 AERATE STOCKPILE OTHER <br /> waste for any reason If Forwards refusal to accept the waste is based on <br /> OIL <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 6 <br /> • the waste ❑ SLUDGE <br /> REMARKS <br /> NON-FRIABLE <br /> _ ,. _ ❑ <br /> FACILITY TICKET NUMBER ASBESTOS <br /> �- ❑ WOOD <br /> SIG NA F TH�IZED NT DATE <br /> J ��/^` ❑ ASH <br /> ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR_;O 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)982-429$ MANIFEST # 27639 <br /> TRANSPORIEA COPY <br />