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WARD NON-HAZARDOUS WASTE MANIFEST <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> Fr <br /> __7 <br /> JOB ACCEPTANCE NO. CMM — 128$-~ <br /> f <br /> GENERATOR - _ REQUIRED PERSONAL.PROTECTIVE EQUIPMENT ar <br /> THRIFTY <br /> CIL COMPANY - - - ❑GY-OVEKS—❑GOGGLES []RESPIRATOR ❑HARD HAT <br /> MAILING <br /> ❑OTHER <br /> 100000 LAKEWOOD BLVD. - - ---- SPECIAL HANDLING PROCEDURES <br /> CITY,STATE,ZIP <br /> ' DOWNEY , CA 90240 - - --- —�— <br /> PHONE <br /> 310-923-9876 <br /> CONTACT PERSON <br /> PETER D ' AMICO <br /> SIGNATURE OF AUTHORIZED AG NT/TITLE DATE <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • © DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> 1 'Y OIL (209) 982- 1009 FAX <br /> �2�j? N' WILSO l JAY <br /> STOCKTON , CA <br /> NAME NOTES � TRUCK NUMBER <br /> �zc� HAMILTONTl�Uc:zlyG `~� � C j <br /> ADDRESS <br /> 1336 PAULINE AVE . LCA; § 4A <br /> • CITY, STATE, ZIP <br /> ` <br /> 10, �STO , ;A 8535S <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFF(S) 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 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 ! DISPOSE BIO AERATE 6MCKS E 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-FINABLE <br /> ❑ ASBESTOS <br /> FACILITY TICKET NUMBER <br /> ❑ WOOD <br /> SIGNATURE OF AUTHORIZED AGENT DATE <br /> ❑ ASH <br /> J'yt i --r-1 ❑ OTHER <br /> SCHEpULINC,p&IST 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 DEUVZBIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> TO SCHEDULE CALL(209)982-4298 MANIFEST # 2 ` 6 + 2 <br /> GENERATOR COPY <br />