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ARD <br /> NUN-HALAhUUUb WAS I E MANIFEST <br /> FORWWASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE N0. - I ---`ter `°`}`�'� <br /> CMM 1288 yy <br /> GENERATOR REQUIRED PERSONAL PRQTEC` VE EQUIPMENT <br /> THRIFTY OIL COMPANY C]GLOVES ❑GOGGLES [—]RESPIRATOR ❑HARD HAT <br /> MAILING AD :� �r� -Wn. s-�—. a w. Yr�ryws -Ar a� <br /> DRESS 4`-=r•,Fav ';-- � , '> r f- []TY-VEK ❑OTHER <br /> 100000 LAKEWOOD BLVD. <br /> CITY, STATE,ZIP SPECIAL HANDLING PROCEDURES <br /> • DOWNEY , CA 90240 - <br /> PHONE <br /> 310-923-9876 <br /> CONTACT PERSON <br /> PETER D ' AMICO <br /> SIGNATURE OFIAUTHORIZED AGENT/TITLE DATE <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> DIS• p CONOSALSTRUCTION <br /> SOITIO ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> • ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> T9RIFTY OIL (209) 982- 1009 FAX <br /> ST 1250 '1 . 114AY <br /> ST`JC'{T ON , CA <br /> NAME • , NOTES TRUCK NUMBER <br /> r <br /> ADDRj H HA"ILTON TRUCKING I/ <br /> 1336 °AULINE AVE . !_CAO 1i 2Ct <br /> - CITY, STATE ZIP <br /> • <br /> PHONE T C ' A 35358 END DUMP BOTTOM DUMP TRANSFER <br /> 20:j-578-41Jo 0 ❑ ❑ <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) 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 <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 SOIL <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 acce <br /> the waste ❑ SLUDGE <br /> • REMARKS <br /> ' NON-FRIABLE <br /> ASBESTOS <br /> FA/LIT` TICK i"UMBER <br /> I ❑ WOOD <br /> SIMA71�R OF J UTI- SIZED AGENT DATE <br /> O❑ ASH <br /> E] 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 * 27650 <br /> TRANSPORTER COPY <br />