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IVUIV,rIALI'1hUUU0 VvAb It MANII-t5T <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> CMM .-- 12$8 - - <br /> JOBS ACCEPTANCIU10 r 3 ._A <br /> GENERATOR, . t . �3�- " `�' . �y :> A:r L t . - REQUIRED PERSONAL PROTECTIVE I;QUIPL+AENT ,r - <br /> THRIFTY OIL COMPANY _ F]GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> MAILINGADDRESS_L-f' ' r ❑TY-VEK ❑OTHER <br /> - _ ac.. ..» 4,. auwrsz..iry ais, <br /> 100000 LAKEW400D <br /> ITY,STATE ZIP�� ;� �����'�'� SPECIAL HANDLING PROCEDURES <br /> C <br /> • DOWNEY , CA ��240 <br /> PHONE `7 N 3.z " i r <br /> 310-9239876 <br /> CONTACT PERSON_ <br /> PETER ' AMICO <br /> SIGNATURE OF UTHORIZED AGENT/TITLE DATE <br /> WAS1 TYPE RECEIVING FACILITY <br /> �/ y ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • Q DISPOSAL SOIL ❑ 9999 SOUTH AUSTIN ROAD <br /> F] 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 . I^tILSO"t WAY 1 <br /> STOCKTON , CA <br /> NAME NOTES TRUCK NUMBER <br /> ADDREjs H HAMILTON TRUCKING �� r <br /> .�� <br /> f • dTY,S 3TC Z,PAULINEAVE. LOrO 4 10 <br /> 1it0OCSTO ' CA 95358 <br /> ' PHONE END DUMP BOTTOM DUMP TRANSFER <br /> ❑ ❑ ❑ <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> FORWARD INC. LANDFILL CUBICYARDS <br /> Forward shall have no obhgat:on to accept the waste if weather or other <br /> f �1 <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 saje and effective operat on of the Landfill Forward shalt 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 <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 R <br /> NON-FRIABLE <br /> _ _ - _ _ ___ ❑ <br /> FACILITY TICKET NUMBER _ ASBESTOS <br /> - - J - - ❑ WOOD _ <br /> SIGNATURW C�AU*O IZED'AGENT DATE <br /> nv ❑ ASH <br /> OTHER <br /> SCHEDULING MUST 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 SCHEDULE CALL (209) 982-4298 <br /> MANIFEST # 27640 <br /> TRANSPORTER COPY <br />