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- � WASTE TREATMENT AND DISPOSAL FACILITY 1 <br /> ►NC. JOB ACCEPTANCE NO, .xx CMM`2288 <br /> GENETHRIFTY OIL. ,COMPA`HY - [-]GLOVES E❑OOGGLE°❑RESPRXTOTECTIVE RE []HARD HAT <br /> MAILING 00b00SCAKEWO�© �1iD*+t .' ., �:`a ��, ❑TY-VEK ❑OTHER <br /> _ . <br /> * - �~ -�-�^ �•T L ,.x --*� - _ ��*� -> SPECIAL HANDLING PROCEDURES <br /> CITY,STATE ZIP - r r- <br /> DOWNEY , ^CA- 90240 <br /> - PHONE - _ . ' ` I,� <br /> 320-923 .9876 ,�-` <br /> CONTACT PERSON <br /> PETER D; AMICO - - <br /> SIGNATURE OF AUTHORIZED AGE[VT / TITLE DATE <br /> M WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • El DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> " ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> THRIFTY OIL <br /> 1250 N . tJILSON :4AY (209) 982- 1009 FAX <br /> STOCKTON , CA <br /> NAME NOTES _TRUCK NUMBER <br /> RICH HAMILTON TRUCKING 9 o <br /> ADDRESS <br /> 1336 PAULINE AVE , LOAD 41 <br /> • CITY, STATE, ZIP <br /> MODESTO , CA 95358 <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> 209-579-4101 ® ❑ ❑ <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> t <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 it the waste DISPOSAL METHOD (TO BE COMPLETED BY FORWARD) <br /> impairs the safe and effective operat;on of the Landfall Forward shall use <br /> reasonable efforts to promptly notify Disposer of :ts inability to accept the DI DOSE 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 ❑ SOIL I <br /> ' conditions are expected to change such that Forward wdl be able to accept <br /> the waste ❑ SLUDGE <br /> s REMARKS <br /> _ . _ _ -• NON-FRIABLE <br /> ❑ ASBESTOS <br /> FACILITY TICKET NUMBER <br /> ❑ WOOD <br /> SIGNATURE OF AUTHORIZED AGENT DATE <br /> ! _ ❑ ASH <br /> ❑ OTHER T_ <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 # 27631 <br /> TRANSPORTER COPY <br />