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WARD NON-HAZARDOUS WASTE MANIFEST <br /> FOR ` 0 WASTE TREATMENT AND DISPOSAL FACILITY <br /> • w - Wrs� k. ar <br /> AMC. - JOB ACCEPTANCE NO. cM _i2g8 � <br /> GENERATOR y ;= _ __. _- '`+� „- ,`� ; REQUIRED PERSONAL PROTECTIVE_EQUIPMEKI17 -,`„. <br /> ` _ THRIFTY 2 f?I L C Q 1 P N Y � ❑GLOVES [:]GOGGLES 0 RESPIRATOR ❑HARD HAT <br /> MAILING ADDRESS ;,,, �-�y�;,��, ❑TY-VEK ❑OTHER <br /> 100000 LAKEWOOD �B'LVD . "" <br /> �Y SPECIAL HANDLING PROCEDURES <br /> CITY STATE ZIP—`^ - <br /> • DOWNEY� CA_ 90240 _ _ <br /> PHONE <br /> 310-923-9876 <br /> CONTACT PERSON --- -- --- - - <br /> PETER D ' AM C10 - <br /> SIGNATURE OFJ AUTHORIZED AGENT / TITLE L/7/2 <br /> �! <br /> 'i 7 <br /> WASTE TYPE ; 1 RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> ' © DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ <br /> CONSTRUCTION SOIL ❑ ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> THRIFTY OIL (209) 982- 1009 FAX <br /> 1250 N WILSON 41AY <br /> STOCKTON , CA <br /> NAME NOTES TRUCK NUMBER <br /> �iTC'-# HAMILTON TRUCKING <br /> ADDRESS <br /> 1335 PAULI=NE AVE . LOAD # 29 <br /> • CITY,STATE ZIP <br /> 140DESTO , CA 95359 <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> 209-579-410' 0 ❑ ❑ <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward sha0 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 r DISPOSE BIO AERATE STOCKPILE 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 site ❑-s�� <br /> condit=s are expected to change such that Forward will be able to accept <br /> the waste ❑ SLUDGE <br /> 4 <br /> REMARKS <br /> ❑ NON-FRIABLE <br /> FACILITY TICKET NUMBER ASBESTOS_ - <br /> ❑ WOOD <br /> SIGNATUO OF AUTHORIZ D AGENT r f DATE - <br /> ❑ ASH <br /> ❑ OTHER � <br /> SCHEDULING MUST BE MADE PRIOR TO 4 QO 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 <br /> ►DAY <br /> BEFORE <br /> TO SCHEDULE CALL (209)982-4298 MANIFEST # 2 I'7O J J <br /> TRANSPORTER COPY <br />