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LJ Keller Canyon ❑ OX Mountain ❑ Newby Island El Forward <br /> Sanitary Landfill nitary Landfill Sanitanandfill Landfill <br /> 901 Bailey Road ?ad10 San Mateo Road 1601 Dixon Landing Road 9999 S.Austin Road <br /> Pittsburg,CA 94565 Half Moon Bay.CA 94019 Milpitas,CA 95035 Manteca,CA 95336 <br /> Phone(925)458-9800 Phone(650)726-1819 Phone(408),945-2800 Phone(209)982-4298 <br /> Fax(925)458-9891 Fax(650)726-9183 Fax(408)262-2871 Fax(209)982-1009 <br /> NON-HAZARDOUS WASTE MANIFEST <br /> GENERATOR WASTE ACCEPTANCE NO. <br /> The f c ton <br /> MAILING ADDRESS <br /> Ing 4 c' rArIn qf t. 2on — 716 <br /> CITY,STATE,ZIP REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> PHONQ E ❑GLOVES U GOGGLES ❑RESPIRATOR U HARD HAT <br /> ❑TY-VEK ❑OTHER <br /> :CONTACT PERSON <br /> Ron Pa M i SPECIAL HANDLING PROCEDURES: <br /> SIGNATUREOFAUTHORIZEDAGENT/TITLE DATE <br /> - raptor d4 5/x/01 <br /> G; RATOWS CER71FlCAn :I hereby ca*that tie above humeri material is not a hazardous <br /> woods as defined by 40 CFA Part 261 or ate 22 of the Califomie code of regulations.has been properly <br /> described,classified and packaged,and is in proper po"dNon for transportation according to applicable <br /> regulations;AN0.N dla wars lea tr"h sent mldua of a Pavbuely racbb[wd hazardous waste <br /> subject to the land Disposal RsidnCllons.I pertly add warrant that the waste has been treated in RECEIVING FACILITY <br /> axordanc1110e with 1110 of 40 CFR Part 268 anri is no longer a hazardous waste as defined by <br /> 40 CFR Part 261. <br /> WASTE TYPE: Forward f an!Sfi11 <br /> C15 DISPOSAL ❑SLUDGE 9909 S Austin—Road <br /> O CONSTRUCTION OWOOD Manteca, S'- 5336 <br /> ❑DEBRIS 0 OTHER <br /> ❑SPECIAL WASTE <br /> GENERATING FACILITY <br /> The City of Stockton <br /> NAME NOTES: I VEHICLE LICENSE NUMBER TRUCK NUMBER <br /> jim Thorpe Oil , Tn(-- 6-/) <br /> ADDRESS �! t <br /> P <br /> CITY,STATE,ZIP <br /> P END DUMP BOTTOM DUMP TRANSFER <br /> SI REOORIZEDAGENTORDRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> * ya GL 5/•9/01 <br /> CUBIC YARDS <br /> I hereby certify that the above named material has been aDDrox 13 tons <br /> accepted and to the best of my knowledge the foregoing DISPOSAL METHOD: (TO BE COMPLETED BY LANDFILL) <br /> is true and accurate. <br /> DISPOSE OTHER <br /> REMARKS <br /> ❑CONSTRUCTION <br /> FACILITY TICKET NUMBER DEBRIS <br /> ❑NON-FRIABLE <br /> ASBESTOS <br /> SIGNATURE O AUTHORIZED AGENT OR DRIVER DATE/ <br /> ❑WOOD <br /> ❑ASH <br /> O SPECIAL OTHER <br /> SCHEDULING MUST BE MADE PRIORTO 3:00 P.M.THE DAY PRIORTO EXPECTED ARRIVAL-ANY UNSCHEDULED LOADS ARE SUBJECT <br /> TO REFUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> GENEAATOP,CCP`/ MANIFEST k <br />