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110-/14-1 Irv_ru 1LJL/vV V VI-t`J 1 L_ IvIHIVII-CO I <br /> Iff—uffs IWAHIJWASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. ' y <br /> GENERATOR :` = - : =' REQUIREp PERSONAL F?ROTECTfVE EOUtPMI=NT, _ <br /> THRIFTY OIL COMPANY ❑GLOVES ❑GOGGLES ❑RESPIRATOR E]HARD HAT <br /> MAILING ADDRESS ` r ' r :``` x�' ;; _�:" ❑TY-VEK E]OTHER <br /> 100000 LAKEWOOO _BLVD . <br /> ,STATE;,ZIP " ` ' `"� ''' ` " �"'' ` Y "'"'' SPECIAL HANDLING PROCEDURES <br /> DOWNEY , CA '90240 <br /> PHONE ' <br /> 310-923-9876 <br /> CONTACT PERSON <br /> PETER D ' AMTCO <br /> SIGNATURE OF UTHORIZED AGENT/TITLE DATE <br /> * 4j&24.-7' /I- <br /> WASY TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> + ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • © DISPOSAL SOIL ❑ 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> THRIFTY OIL 209) 982- 1009 FAX <br /> 1250 rl . WILSON WAY <br /> STOCKTON , CA <br />. NAME NOTES - - TRUCK NUMBER <br /> RICH HAMILTE3N TRUCKING <br /> ADDRESS c�U <br /> 1336 PAbLINE AVE . LOAD 32 <br /> • CITY,STATE, ZIP <br /> f-400EST13 , CA 95358 <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> 209-578-4100 ❑ ❑ <br /> SIGNATURE OF AU/7�HORIZED GENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> 0 11 El <br /> 2 q1 <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no ebl;gatron to accept the waste if weather or other <br /> conditions impair the safe and effective disposal of the waste or if 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 STOCKPILE OTHER <br /> waste for any reason If Forwards refusal to accept the waste :s based on <br /> weather or other site conditions Forward shall notify the Disposer when site <br /> AIR-- <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 A58E5TQS <br /> r <br /> ❑ WOOD <br /> SIGNA;nJRF� OF THgA1ZED GENT f DATE <br /> ❑ ASH <br /> ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TCrREFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL <br /> II ( V V THE <br /> DAY BEFORE <br /> TO SCHEDULE CALL (209) 982-4298 MANIFEST # L 2 <br /> TRANSPORTER COPY <br />