Laserfiche WebLink
w <br /> WARD NON-HAZARDOUS WASTE MANIFEST <br /> s WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. <br /> - CFIM 5288 <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 /> 310-923-9876 _ <br /> CONTACT PERSON <br /> PETER D ' AMICO <br /> SIGNATUR OF AUTHORI D AGE T/ T1TLE 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 /> T# 90 11Y `vTL 1209) 982- 1009 FAX <br /> 125?7 iJ 'vTLSrf# �+AY ( <br /> NAME NOTES TRUCK NUMBER <br /> RICIA 1HA ,IILT01%1 TRUCKING L jA[3 #-i5 qS0 <br /> ADDRESS <br /> 1336 PAULI1NE AVE <br /> • CITY, STATE, ZIP <br /> `!,E-,trST' , CA 9535q <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> 2j9-572-410_) ❑ ❑ ❑ <br /> SIGNATURE OF AUTHgRIZED AGE TOR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> FORWARD INC, LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste if weather or other LGS <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 I�t <br /> weather or other site conditions Forward shall notify the Disposer when site u 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 /> ❑ 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 DRAY BEFORE <br /> TO SCHEDULE CALL(209)982-4298 MANIFEST # 2 1 V S 6 <br /> GENERATOR COPY <br />