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WARD NON-HAZARDOUS WASTE MANIFEST <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. - CMM _ -- -1288 r <br /> GENERATOR TT yyS REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> 0 I L COMPANY - _ _ _ ❑ ❑ ❑ ❑GLOVES GOGGLES RESPIRATOR HARD HAT <br /> MAILIN <br /> _m _ _ _ ]TY-VEK ❑OTHER <br /> 100000 LAKEWOOD BLVD. - SPECIAL HANDLING PROCEDURES <br /> CITY,STATE, ZIP <br /> • DOWNEY, CA 90230 <br /> - PHONE <br /> 3310-923-9876 <br /> CONTACT PERSON <br /> PETER D ' AMICO <br /> SIGNATU OF AUTHORISED AGE T/ TITLE DATE <br /> .. il, 1 �1 <br /> • WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • [�] DISPOSAL SOL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> _• ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY <br /> (209) 982-4298 PHONE <br /> TIIR' FTY 0 "- (209) 982- 1009 FAX <br /> 1350 li . ITLSI," ,jAY <br /> STO KT9N , CA <br /> NAME NOTES TRUCK NUMBER <br /> ADDRESS HAMILTON TRUCKING I C?AJ #47 13 <br /> 1330 PAULISS AVE. <br /> CITY, STATE, ZIP <br /> 10DESTC , C � 25.358 <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> 209-578-41120 ❑ ❑ ❑ <br /> SIGNATURE'OF'AU,THORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> y� t ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste if weather or other if <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 SOIL <br /> weather or other site conditions Forward shall notify the Disposer when site f <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 /> ❑ ASH <br /> ❑ OTHER <br /> SCHEt3ULING-)RUST BE MADE PRIOR TO 4 QO 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 13E�FORE <br /> TO SCHEDULE CALL(209)982-4298 MANIFEST # 2 7 6 8 `t <br /> GENERATOR COPY <br />