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WIRD NON-HAZARDOUS WASTE MANIFEST <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. cMMs <br /> GENERATORJ _- REQUIRED PERSONAL PROTECTNEE,,EQUIPMENT <br /> THRIFTY D I L COMPANY ❑GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> MAILING ADDRESS "�-s .r ` Y�~�R: - Y W ^� <br /> *• ~'w` ❑TY-VEK []OTHER <br /> 100000 LAKEWOOD BLVD . <br /> CITY,STATE,"ZIP �'��r ="' `` ```�"° ""'=� -' `f� SPECIAL HANDLING PROCEDURES <br /> DOWNEY , CA 90240 <br /> PHONE <br /> 310-923-9876 <br /> CONTACT PERSON _ <br /> PETER D' AMICO <br /> SIGNATURE OF AUTHORIZED AGENT/TITLE DATE <br /> • WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • , DISPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> THRI -TY OIL <br /> 1250 N . 'JILSON 14AY (209) 982- 1009 FAX <br /> STOCKTO'4 , CA <br /> NAME - - I I - NOTES TRUCK NUMBER <br /> RICH HAI'llICTON TRUCKIGG <br /> ADDRESS <br /> 133'^ PAIILI"IE AVE . L+)AD 420 <br /> • CITY,STATE, ZIP <br /> '"0DE9T0 , CA 35359 <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> 209-578-41+10 El ❑ ❑ <br /> SIGNATURE OF AUT, RfZED APENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> El 1:1 <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste if weather or other 1 <br /> condrtions impair the safe and effective disposal of the waste or of the waste DISPOSAL METHO (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 sTOcuiu 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 sate SOIL <br /> conditions are expected to change such that Forward will be able to accept <br /> ` the waste ❑ SLUDGE <br /> REMARKS - <br /> ` NON-FRIABLE <br /> FACILITY TICKET NUMBER ❑ ASBESTOS <br /> --- _ - - - - -- <br /> El WOOD <br /> SIGNATURE OF ORIZED AGENT _ DATE <br /> ❑ ASH <br /> ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR-'O 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 # 27656 <br /> TRANSPORTER COPY <br />