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V Y V i 1l"1L.-Y"tY i V 1.J'li t.! K Y!'1tJ 1 L. Y V I!'1i V 11 L-0 1 <br /> f WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE N0. <br /> 41GENERATOR,-- _ =,q - REQUIRED PERSONAL PROTECTIVE EQUIPMENT-THRIFTY OIL C( M�� � n„ �_,�y ❑GLOVES []GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> MAILING ADDRESS �r r �� _ ,y , x ❑TY-VEK ❑OTHER <br /> 100000AK1~WOOD �Q��,VD.__ SPECIAL HANDLING PROCEDURES <br /> CITY,STATE, ZIP , "� ,• - w_ -x,.�.r' <br /> • DOWNEY, CA 90240,1r _ <br /> PHONE <br /> 310-923-9976 <br /> CONTACT PERSON <br /> PETE <br /> SIGN <br /> +ATJRE OFAUTHORIZED AGENT /TITLE DATE <br /> h <br /> WASTE TYPE RECEIVING FACILITY <br /> r <br /> Y <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • ❑ D901E El 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION <br /> UCTION 50lL ❑ ASH ASH <br /> •• ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> THRIFTY OIL (209) 982- 1009 FAX <br /> 1250 N . r1ILS01't WAY <br /> STOCKTON , CA <br /> NAME Y NOTES, TRUCK NUMBER <br /> RICH HAMILTON TRUCKING �e, <br /> ADDRESS <br /> 1336 PAULINE AdE . L7Y�D X11 <br /> CITY, STATE ZIP <br /> • MODES T O , CA 95359 <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> 209—E73-410J ❑ ❑ ❑ <br /> SIGNATURE OF AUTH RIZED A ENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> * / i ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no ebhgatron 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 <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 IL <br /> weather or other site conditions Forward shall notify the Disposer when�sdCs <br /> ' conditions are expected to change such that Forward will be able to acce <br /> the waste ❑ SLUDGE <br /> ` REMARKS <br /> NON-FRIABLE <br /> ❑ ASBESTOS <br /> FACILITY TICKET NUMBER <br /> i 1, _ ❑ WOOD <br /> SIGNA{U F AUT14IORIZ ,4GENT I PATIE <br /> L <br /> ❑ 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 /> rO SCHEDULE CALL(209) 982-4298 MANIFEST # 27641 <br /> TRANSPORTER COPY <br />