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���H� . ,,.�1 v . lr u_, ,- r,vv�..v w wnV I h IVII-11 V11 I_ti7 1 <br /> s WASTE TREATMENT AND DISPOSAL FACILITY <br /> EJOB-ACdEPTANC <br /> GENERATOR" : <br /> �- ,. _�, �� �. REQUIRES PERSON)4♦`PFtOTECTIV EQgPMEt�T <br /> IL �; ;;:,� <br /> THRIFTY OCOMPANY [:]GLOVES ❑GOGGLES-❑RESPIRATOR ❑HARD AT <br /> MAILING ADDRESS '.i ❑TY-VEK ❑OTHER <br /> 100000 LAKEWOOD BLVD. <br /> CITY,STATE ZIP` "-} � '»sr ` " �'°' �' ` SPECIAL HANDLING PROCEDURES <br /> • DOWNEY, CA 90240 <br /> I- ,.T — ----, <br /> 3n-923-987& <br /> CONTACT PERSON <br /> PETER 0 ' AIIICO <br /> SiGNF(TURE O4.UTHCRIZED AGENT/TITLE DATE <br /> WASTE TYPE RECEIVING FACILITY <br /> J <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • © DISPOSAL SOIL ❑ 9999 SOUTH AUSTIN ROAD <br /> E] CONSTRUCTION SOIL ❑ ASH ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> r <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> THRIFTY OIL 209 982- 1009 FAX <br /> 91250 N . WILSON 144Y <br /> STOCKTON , CA <br /> NAME NOTES TRUCK NUMBER <br /> RICH HAMILTWI T` LICKING <br /> ADDRESS <br /> 13-36 PAULINE AVE . LOAD 4 14 <br /> CITY, STATE,ZIP <br /> NODESTO , CA 35358 <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> 209-573U-4100 ❑ ❑ ❑ <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> l ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste if weather or other Y <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 STiXKPILE OTHER <br /> waste for any reason If Forwards refusal to accept the waste is basedon <br /> weather or other site conditions Forward snail notify the Disposer when si L <br /> conditions are expected to change such that Forward will be able to acct <br /> the waste ❑ SLUDGE <br /> • <br /> REMARKS - <br /> ` NON-FRIABLE <br /> ❑ ASBESTOS <br /> FACILITY TICKET NUMBER <br /> _ _ __ � _ _ - ❑ WOOD <br /> SIGNATUREAU�THORI ED AGENT DATE <br /> ' � ❑ ASH <br /> OTHER <br /> SCHEDULING MUST BE MADE PRIOR IrO 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 MANIFEST # 2 7 6 4 4 <br /> TRANSPORTER COPY <br />