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f ARrCI <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> INC. JOB ACCEPTANCE N0. ,,CMM rs`->1- a ^ l Ms <br /> GENERATOR _t _ _ , REQUIRED PERSONAL PROTECTIVE EQUIPMENT- <br /> THRIFTY OIL--COMPANY ❑GLOVES ❑GOGGLErS ❑RESPIRATOR E]HARD HAT <br /> MAILING ADDRESS �_ , - ;, �� h_`_ ;, ;' ❑TY-VEK ❑OTHER <br /> 100000 LAKEWOOD BLVD . _ _ - SPECIAL HANDLING PROCEDURES <br /> CITY,STATE,ZIP - - r `—,-w. " -__ ,-_. - <br /> • DOWNEY, CA 90240 <br /> PHONE l �' <br /> 310-923-9879 <br /> CONTACT PERSON w -� <br /> PETER D ' ACIO <br /> jjDA_SIG TURE OF AUThRZlrES` <br /> s-� <br /> WASTE T E RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • 0 DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> • ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACIUTY (209) 982-4298 PHONE <br /> THRIFTY OIL <br /> -12501 N . WILSOtl IJAY (209) 982- 1009 FAX <br /> STOCKTON , CA <br /> NAME RUCK NUMBER e� <br /> RICH HAMILTON TRUCKING <br /> _ADDRESS -,5 a <br /> 1336 PAULINE AVE . !OAD 42 <br /> CITY,STATE ZIP <br /> MODESTO , CA 95358 <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> 209 579-dIOO ® ❑ ❑ <br /> SIGNATURE OF AUT IZED AGE T OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> El 0 El 11 <br /> *)M . 1LES <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste,f 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 D:sposer of its inability to accept the DISPOSE BIO AERATE STOCKPILE OTHER <br /> waste for any reason If Forwards refusal to accept the waste is based on SOIL <br /> weather or other site conditions Forward shall notify the Disposer when site <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste ❑ SLUDGE <br /> REMARKS <br /> ❑ NON-FRIABLE <br /> FACIUTY TICKET NUMBER ASBESTOS <br /> ❑ WOOD <br /> SIGNATURE OF AUTHORIZED AGENT DATE <br /> ❑ ASH <br /> I l w �` ''r ❑ OTHER <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 /> Th SCHEDULE CALL (209)982-4298 MANIFEST # 2 7 CC 3 2 <br /> TRANSPORTER COPY <br />