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: M02k WARDNUN-HAZAHUUUS WASTE MANIFEST <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> 1NW' JOB ACCEPTANCE N0. cMr� - —_ ?sa. �-`, <br /> GENERATOR , , c -:REQUIRED PERSONAL PROTECTIVE EQUIPMENT~ <br /> THRIFTY OIL COMPANY ❑GLOVES ❑ <br /> MAIGOGGLES []RESPIRATOR E]HARD HAT <br /> LING ADDRESS„ ,mac 'Z-e'_r' N'' " '� TY-VEK <br /> Tri;` ❑ ❑OTHER <br /> 100000 LAKEWOOD BLVD. <br /> CITY,STATE,ZIP -'' - " rT'` - ;M' =". SPECIAL HANDLING PROCEDURES <br /> • DOWNEY, CA 9024fl <br /> PHONE <br /> 310-923-9876 <br /> CONTACT PERSON - <br /> PETER ' AMIC0 f <br /> SIGNATURE OF UTHORIZED AGENT / TITLE DATE <br /> WAST TYPE w RECEIVING FACILITY <br /> SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> ~ ❑ DISPOSAL SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> El CONSTRUCTION SOIL ❑ ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> THRIFTY OIL <br /> 125th N . WILSO"I JAY (209} 982- 009 FAX <br /> STOCKTON , CA <br /> NAME NOTES - TRUCK NUMBER <br /> RICH HAtIILTON TRUCKING _ <br /> ADDRESS ]�a <br /> 1333 PAULINE AVE . LOAU X22 <br /> • CITY, STATE, ZIP _ _ <br /> ,1IJOEST9 , Cry 55358 <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> 290-579-41JO ❑ ❑ ❑ <br /> SIGNATURE OFFAAp�fHORIZED AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> El E3 <br /> l 1 7 <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste it weather or other !b <br /> conditions impair the safe and effective disposal of the waste or tf 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 810 JAERATEISTOCKPILE! OTHER <br /> waste for any reason If Forwards refusal to accept the waste is based on <br /> weather or other site conditions Forward shall notcfy the Disposer when site - E}SOIL <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste <br /> � ❑ SLUDGE <br /> REMARKS <br /> ❑ NON-FRIABLE <br /> - � <br /> FACILITY TICKET NUMBER ASBESTOS <br /> ❑ WOOD <br /> SIGNATURE OF AUTHORIZED AGENT DATE <br /> ## ASH <br /> OTHER <br /> SCH DULIN6 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 DEFORE <br /> TO SCHEDULE CALL(209)982-4298 MANIFEST # 27652 <br /> � TRANSPORTER COPY <br />