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FP <br /> ���� NON-HAZARDOUS WASTE MANIFEST <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> - JOB ACCEPTANCE NO. <br /> CMN!'"" I288 <br /> GENERATOR - REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> THRIFTY OIL COMPANY []GLOVES []GOGGLES []RESPIRATOR E]HARD HAT <br /> MAILING ADDRESS ❑TY-VEK ❑OTHER <br /> 100040 LAKEWOOD BLVD . SPECIAL HANDLING PROCEDURES <br /> CITY, STATE, ZIP _ <br /> ` DOWNEY, CA 90240 r <br /> PHONE <br /> 310-923-9876 _ <br /> CONTACT PERSON _ <br /> PETER D ' AMICO <br /> SIGNA E F AUTHORIZ DAG T / TITLE DATE <br /> WA E TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • 0 DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> 120; 1 OIL (209) 982- 1009 FAX <br /> 12550 `! ' +ILSU,J ylAv <br /> STCICKTON , CA <br /> NAME NOTES TRUCK NUMBER <br /> ADURERICH SS i'A`1ILTOP! T RUC:I"IG LQA�i FF46 Q e3 <br /> 1336 PAUL NE AVE . <br /> • CITY, STATE, ZIP <br /> '10DESTO , CA 95358 <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> 2f)q-573--'100 ❑ ❑ <br /> SIGNATURE OF AUT RIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> r - � 1:1 ❑ ❑ ❑ <br /> 7k 2� l32r�� - <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste if weather or other S <br /> conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL METHOD (TO BE COMPLETED$Y 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 AUTHORIZED AGENT DATE <br /> ❑ ASH <br /> L i ❑ OTHER <br /> SCREDULIWor4lIUST 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(249)982-4298 MANIFEST # 2 7 6 8 5 <br /> GENERATOR COPY <br />