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_ J <br /> ❑Keller Canyon ❑Coffin Butte ❑Ox M ,attain ❑Newby Island Q Forward <br /> Sanitary Landfill Landfill SanF' ,ry Landfill Sanitary Landfill Landfill <br /> 901 Bailey Road 28972 Coffin Butte Road 12310 San Mateo Road 1601 Dixon Landing Road 9999 S.Austin Road <br /> Pittsburg,CA 94565 Cowalfis,OR 97330 Half Moon Bay,CA 94019 Milpitas,CA 95035 Manteca,CA 95336 <br /> Phone(925)458-9800 Phone(541)745-2018 Phone(650)726-1819 Phone(408)945-2800 Phone(209)982-4296 <br /> Fax(925)456-9891 Fax(541)745-3826 Fax(650)726-9183 Fax(408)262-2871 Fax(209)982-1009 <br /> NON-HAZARDOUS WASTE MANIFEST <br /> GENERATOR WASTE ACCEPTANCE NO. <br /> l ) _ <br /> IUNG ADDRESS _ <br /> 9594 <br /> CITY,STATE,ZIP REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> PHONE <br /> "-a� ' GLOVES ❑GOGGLES U RESPIRATOR "ARD HAT <br /> 7-1 -- ' 'I U TY-VEK a SAFETY VEST <br /> CONTACT PERSON <br /> SPECIAL HANDLING PROCEDURES: <br /> SIGNATURE OF AUTHORI ED AGENT I TITLE DATE <br /> _1 1 <br /> 1 <br /> GENEFMTOFU CE43#143ATION raby Cathy that she above named me"]r rs ml a hazardous <br /> wage as defin by tl GFR Pan 261 o,aIle 22 d the Cafilornia Code d regulalions,has been pmpMy <br /> d nlmhd, W <br /> caaded aM p.k.,d aM is m preps,condition lo,aanap g.a-Cada,to a,lratle <br /> aWa <br /> aeliona;AND,If me wale la•11.1mssM.1due Of a Pre rb.g r hashMe ed has ansa wWa <br /> alcfec+w ma 1.aM Disposal Resvclwns,I Wdy aM warrant that the wave has been veasad:. RECEIVING FACILITY <br /> a¢advxw wile d,e rpuramMls M 40 CFR Pan 26B aM n no longer a hezardws waste as UafirNd Oy <br /> WASTE TYPE: <br /> U DISPOSAL U SLUDGE <br /> U CONSTRUCTION U WOOD <br /> U DEBRIS f&OTHER <br /> U SPECIAL WASTE I f <br /> GENERATING FACILITY <br /> TRANSPORTER NOTES: VEHICLE LICENSE NUMBER70 TRUCK NUMBER <br /> ADDR n <br /> CITY,STATE,ZIP o FF Aub y $Od G R..S <br /> v <br /> PH NE END DUMP BOTTOM DUMP TRANSFER <br /> i — <br /> SIGNATURE:O H I DAGENT OR DRIVER JDATE ROLL-0FF(S) FLAT-BED VAN DRUMS <br /> CUBIC YARDS <br /> I hereby certify that the above named material has been <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 /> MARKS U SOIL <br /> -- U CONSTRUCTION <br /> FACILITY TICKET NUMBER DEBRIS <br /> --- U NON-FRIABLE <br /> SI TUREOF THORIZEDA - __ DATE ASBESTOS <br /> U WOOD <br /> U ASH <br /> U SPECIAL OTHER <br /> SCHEDULING MUST BE MADE PRIORT03:00 P.M.THE DAY PRIORTO EXPECTED ARRNAL a ANY UNSCHEDULED LOADS ARE SUBJECT <br /> TO REFUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE, <br /> (:PNConrri 11-1. MANIFEST If 7 1 P C4 1 1 <br />