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ARD <br /> NON-HAZARDOUS WASTE MANIFEST <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> r JOB ACCEPTANCE NO. CMM - 1288 <br /> GENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> THRIFTY OIL COMPANY ❑GLOVES ❑GOGGLES [-]RESPIRATOR ❑HARD HAT <br /> MAILING ADDRESS ❑TY-VEK ❑OTHER <br /> 100000 LAKEWOOD BLVD. SPECIAL HANDLING PROCEDURES <br /> CITY,STATE,ZIP <br /> • DOWNEY, CA 90240 _ <br /> PHONE <br /> 310-023-9876 <br /> CONTACT PERSON <br /> PETER D ' AMIGO <br /> SIGNATURJE OF AUTHORIZfD AGENT/TITLE DATE <br /> &gwr 'V-4491 ' <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> • ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • 13 DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> •• ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> .I . 'elTt_SOPI 'y'a'p <br /> S 23 `r 1 . `' <br /> TL <br /> ".230".230 (209) 982- 1009 FAX <br /> STOCKXTION , CA <br /> NAME NOTES TRUCK NUMBER <br /> RICH HAMILT041 TRUCKI110 LOAD t49 93c,ADDRESS <br /> 136 PAULTA#E AVE . <br /> * CITY, STATE, ZIP <br /> %IGDE_STO , CA 35359 <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> 2.3—_ ? <br /> SIGNAXJLF -4100 :'❑ ❑ E]SE OF AUTHO I ED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> A, El 0 1:1 <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 /> r <br /> - SIGNATURE OF AUTHORIZED AGENT DATE <br /> 1 ❑ ASH <br /> I 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 8 2 <br /> GENERATOR COPY <br />