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w <br /> NON—HAZARDOUS WASTE MANIFEST <br /> r�WARDWASTE TREATMENT AND DISPOSAL FACILITY <br /> NJOB ACCEPTANCE NO. �. � `�` - a_ <br /> CMM 1288 <br /> GENERATOR - REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> THRIFTY OIL COMRRNY ❑GLOVES [-]GOGGLES [-]RESPIRATOR ❑HARD HAT <br /> MAILING ADDRESS - ❑TY-VEK ❑OTHER <br /> 100000 LAKBBOOD BLVD . -- SPECIAL HANDLING PROCEDURES <br /> CITY,STATE, ZIP <br /> • PHONEOWNRYNX DO',4NEY10 CA 90240 X - <br /> . 310-923-9376 - <br /> CONTACT PERSON <br /> PETER D ' AMICO <br /> SIG U OF AUTHORI D AGENT/ TITLE DATE <br /> 114 <br /> • WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • Q DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> • ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> TWRIFTY 0I1_ <br /> 1250 1I , 0TLSON NAY (209) 982 - 1009 FAX <br /> STOCK CA <br /> NAME NOTES TRUCK NUMBER <br /> RICH HAr1I'IIf. N TRUCKING LOAD -f 52 <br /> ADDRESS <br /> 1336 PAIIII88 AVE <br /> CITY,STATE, ZIP <br /> 'I()DESTO CA ?Li'58 <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> 209-578 - 4100 0 ❑ ❑ <br /> SIGNATURE-CF-AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> ❑ ❑ ❑ ❑ <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 I 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 AUTHORIZED AGENT DATE <br /> _r <br /> ❑ ASH <br /> ❑ 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 # 27678 <br /> GENERATOR COPY <br />