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if- �� WA�� ,vvly-1 t�r-lnuvu0 vYNJ i r^ IVIHIVIr co I <br /> Wm ;+ WASTE TREATMENT AND DISPOSAL FACILITY <br /> INC. JOB ACCEPTANCE NO. <br /> GENERATOR S ; �; x�3 f�• 4j REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> THRIFTY OIL COMPANY ❑GLOVES ❑GOGGLES []RESPIRATOR ❑HARD HAT <br /> MAILING ADDRESS =, 'W;- `Y ❑TY-VEK ❑OTHER <br /> .. �.v.M .93'1.%. <br /> 100000 LaKEW000.. - BLVD. <br /> CITY,STATE,ZIP -_ f''w rtE'- _� " -r, 's-" "", 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 f TITLE DA <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • p 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 ": . WILSON WAY <br /> STOC:TON , CA 61.11. <br /> NAME . ,= �,«� v . �_ �� , w.�a,, .._- NOTES --:TRtJPK NUMBER <br /> RICH HAMI ON XRNK%XNS TRUCKING <br /> ADDRESS 6 U <br /> 1336 PAULINE AVE. LOAD #3 <br /> • CITY, STATE ZIP <br /> MOD_STO , UA 95358 <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> 2CD-57'1-41.00 © 1 ❑ ❑ <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste if weather or other <br /> conditions impar the safe and effective disposal of the waste orf 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 DISPOSE BIO AERATE ISTC)COMLE 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 /> - <br /> the waste [❑ SLUDGE <br /> REMARKS <br /> NON-FRIABLE <br /> FACILITY TICKET NUMBER ASBESTOS <br /> + - ❑ WOOD <br /> SIGNATURE OF AUTHORIZED AGENT DATE <br /> ❑ ASH <br /> l r ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL a 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 r -i,`1 MANIFEST # 2 7 6 3 3 <br /> TRANSPORTER COPY <br />