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jr-AMAE29AIARD O NON- US WASTE MANIFEST <br /> T—TAMFIrps -WASTE TRE NT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. ci m 1288 * <br /> y t <br /> GENERATOR x ` <br /> � TyJy - �ryRECUIRED E §OMLROTECE <br /> _ TNRTFTILCOMPANf [ ❑ QUIPMErF <br /> MAILING ADDRESS _ RESPIRATOR ❑.H. ARD�HAT <br /> ❑TY-VEK <br /> ❑OTHER - <br /> - !Q-0000_!_AKHW©QD BLVD. <br /> CI <br /> K _- <br /> TY,S"fATE,ZIP _ <br /> PHONE , SPECIAL HANDLING PROCEDURES <br /> DOWNY,`CA- 90 40 R <br /> - <br /> 310-923-9976 -� <br /> CONTACT PERSON <br /> P_ETER__D' AMIC_0_ _ _ ____ _ _ <br /> SIGNATURE OF AUTHORIZED AGENT/ TITLE DATE 4_� <br /> • WASTE TYPE r _ _ _ I _ _ RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> • ® DISPOSAL SOIL ❑ WOOD <br /> ❑ CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY - (209) 982-4298 PHONE <br /> THRIFTY OIL <br /> 1250 N . WILSON WAY (209) 982- 1009 FAX <br /> STOCKTON , CA <br /> NAME - - •, NOTES' TRUCK NUMBER <br /> RICH HAMILTON TRUCKING _ �30 <br /> ADDRESS - <br /> 133o PAULINE AVE . LOAD # 30 <br /> CITY, STATE, ZIP <br /> MODESTO , CA 95358 <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> 209--578-4100 ] 0_ ❑ <br /> SIGNATURE OF TRIZED A NT OR DRIVER DATE ROLL-OFFS) FLAT BEI7 VAN DRUMS <br /> El El <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste if weather or other /q C S <br /> conditions impair the safe and effective disposal of the waste or if the wasteDISPOSAL METHO (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 BIS=KPILEIIO AERATE 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 S �` <br /> • conditions are expected to change such that Forward will be able to accep <br /> the waste ❑ SLUDGE <br /> REMARKS - <br /> - '- El <br /> NON-FRIABLE <br /> FACILITY TICKET NUMBER — " - - ~-- ASBESTOS <br /> El WOOD <br /> SIGNAi A THORIZ D AGENT r 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 DAY BEFORE <br /> TO SCHEDULE CALL(209)982-4298 <br /> MANIFEST # 27660[ <br /> TRANSPORTER COPY <br />