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���� NON-HAZARDOUS WASTE MANIFEST <br /> WASTE TREATMENT AND DISPOSAL FACILITY <br /> INC. JOB ACCEPTANCE N0. <br /> CMM -v 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 . <br /> CITY,STATE, ZIP SPECIAL HANDLING PROCEDURES <br /> • DOWNEY, CA 90240 <br /> PHONE <br /> 319-923-9876 <br /> CONTACT PERSON _ <br /> PETER D ' AMICO <br /> SIGNATURE OF AUTHORIZED AGENT /TITLE DATE <br /> WASYE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> p DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> THRIFTY OIL (209) 982- 1009 FAX <br /> 1L250' N . '0ILSO 4 `ir'Y <br /> STOC;CQTN , CA <br /> NAME NOTES TRUCK NUMBER <br /> ADDRACH HA0.1ILTON TRUCKING <br /> i <br /> • <br /> CITY, SgWZII AULIi4c' AHE . L` AO 7r--3R <br /> 0 D STO , CA 95353 <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> 5 7rt 0 E] 1:1SIGNATUR ^ER ZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> FORWARD INC. LANDFILL cuslc YARDS <br /> Forward shall have no obligation to accept the waste if weather or other U' <br /> conditions impair the safe and effective disposal of the waste or d the waste DISPOSAL METHOD (TO BE COMPLETED BY FORWARD) <br /> ampairs the safe and effective operation of the Landfill Forward shall use <br /> reasonable efforts to promptly notify Disposer of its inability to accept the r DISPOSE 1110 AERATE STOCKPILE OTHER <br /> waste for any reason If Forward s 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 /> o NON-FRIABLE <br /> FACILITY TICKET NUMBER ASBESTOS <br /> "- [—] WOOD <br /> - SIGNATURE,6F /4THOfAIZED ACLNT DATE <br /> �i. ❑ ASH <br /> r_1OTHER <br /> CC 112,2 <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 # 27669 <br /> GENERATOR COPY <br />