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_ r <br /> WARD <br /> � NON-HAZARDOUS WASTE MANIFEST <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> P V- r' JOB ACCEPTANCE NO. CMM -`- 1288 —77--] <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT ;' V— - <br /> TH R I F T Y OIL COMPANY _ r ❑GLOVES []GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> MAILING ADDRESS _ : w _ ❑TY-VEK [:]OTHER <br /> 100000 LAKEWOOD- BLVD.--- _ - - SPECIAL HANDLING PROCEDURES <br /> CITY,STATE,ZIP <br /> • NO DOWNEY , CA 90240 <br /> PHONE <br /> • 310-923-9878 _ <br /> CONTACT PERSON <br /> PETER ' AMICO <br /> SIGNATURE OF UTHORIZED AGENT /TITLE DATE <br /> * � lr__� 1)1-0-11-�t <br /> WASTE TYPE RECEIVING FACILITY <br /> Ui <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • Ej DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> • ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> 1250=T�/ GIL 209 982- 1009 FAX <br /> '�7Fil II . :9JT.L S{}'j `uAY l )1 <br /> STOCK i ON , CA <br /> NAME NOTES TRUCK NUMBER <br /> RICE! HAMILTON TRUCKING � <br /> ADDRESS <br /> 1336 P �ULINIE AVE LOAD A `IC _ <br /> • CITY, STATE, ZIP <br /> • I O L c T O I;FI C <br /> END DUMP BOTTOM DUMP TRANSFER <br /> PHONE 13 E] 1:120r _57;3--4'!0C <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> J ' Ll El <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 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 <br /> conditions are expected to change such that Forward will be able to accept <br /> the waste ❑ SLUDGE <br /> REMARKS <br /> NON-FRIABLE <br /> ❑ ASBESTOS <br /> FACILITY TICKET NUMBER <br /> ❑ WOOD <br /> SIGNATURE OF AUTHORIZE AGENT � DATE <br /> �� ❑ ASH <br /> Y�c�, e? -�(q 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 /> TO SCHEDULE CALL(209) 982-4298 MANIFEST # 2 7 6 6 6 <br /> GENERATOR COPY , <br />