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:� $iter Carron ❑Coffin Butts 0�x Mountain CJ Newby lela>rtd �'l✓orward <br /> Sanitary Landfill_ -Landfill S86-dary Landfill Sanitary Landfill Landfill <br /> 90a Batey Road 28972 Coffin-8tr to Roar! 12310•9an Mateo P4*d 1801 Dixon landing Reed 9999 S.Austin Read <br /> PIttsborg.CA 94665 conraft,OR 97330 Half IRAeen Bay.CA 9+6'19 Milpitas,CA 9.5MS ulanteCa.CA 95328 <br /> Phone(925}458-880D Phone(541}745-20 t8 Pbona($5D}7 1 B19 Phone(08)945-MO Phone{249}982-4298 <br /> rax(925)458-97391 Fax(541)Td5-382!} Fax(b 7288 Fax-(408)282-2671 Fax(2091 882.1 GC9 <br /> NON-HAZARDOUS WAVE MANIFEST <br /> t fi WASTE ACOMANCE NQ <br /> MAILING AiJf3RESS � + D 7 _ Q� �^ <br /> t. CITY S�A7E,ZIP G REQUIRED PERSONAL PROTECTIVE EQUIPMEM <br /> o GLOVES ❑GOGGLES URS PIRA d.o R MAT <br /> PHONE ~ t <br /> O TY--VEK Q(9AFIkT`f VEV ass rs <br /> CONTACT PERSON 1 A. ratJ SPECIAL HANDLING IP OCEDURES: <br /> SIGNATURE QF4�Id'CHQRIZED AGENT I TITLE DATE <br /> ENIERATORS GERTJF1CATJON:I Wilby CMIRy Ih8t"App!nwngd rtvledel ra rq1 d heGeurdew4 <br /> W RI ea aallrwd by 44 GPA POA 261 Dr Ift 0 d ft Ceft""ads ar MOMk"'has been Ramey <br /> do.trlbad.elees4Aotl aM pedrREPd.antl is in propacyhdkEan hx tt�nfpORa11id1 a-Ca►tlli+Q 1¢� <br /> regaq�lCrw;ANAM'tIACMMIelee�adM1En40ieP"w%"'h' � RECEIVING FACILITY <br /> SI10 theLW%pjzI R bWr1000ra,I wffiy end wertsA:eas <br /> rt" wte :p hbeen"fts1n <br /> mzoi hhCe+kn BM requlrWWft d W CFA PaR 268 end Ie no long a hesnrGouR w.uta�dkTlnee by <br /> OCFR ZIPE'i. . <br /> WASTE TYPE: <br /> n DISPOSAL ❑SLUDGE ,@iI <br /> D CONSTRUCTION O WOOD <br /> 0 DEBRIS O OTHER <br /> dCSPECIAL WASTE _ <br /> GENERATING FACILITY <br /> 4343 <br /> TRANSPORT R H �IVs0-0A NOTES: vEH1C1.EUC�NSE <br /> NUMBER TRUCK NUMBER , <br /> ADORM P' <br /> CITY,STATE;i'I _52e4_001jA42. <br /> PHONE END DUMP BOTTOM DUMP TRAJVSFER. <br /> SIGNMU E OF-AUTHORIZED AGENT OR DFIIVER DATE ROLL-OFFS FLAT=BI=D VAN DRUMS <br /> a a a a <br /> CUBIC YARDS <br /> I.hereby certify that the above named Mi teftl has been <br /> Accepted an4 to the best of ITIy-.krldlllltM9ge th@ foregoing D1SPvsAL 0; (TO BE COMP1.Ir M BY LANDFILL) <br /> is tale and accurate. <br /> 0100SE OTHER <br /> ❑50R ' <br /> RIGS <br /> II` O CONSTRt1CTIOFI <br /> D�RIS <br /> FACILITY TICKET NUMBER ❑NON-FRIABLE <br /> ASBESTDS <br /> ' SIGNATURE OF AUTHOR¢EO AGENT DATE O WOOD <br /> O ASH <br /> t]SPECIAL OTHER <br /> SCHgOUL ING MUST PNOWIR.IULTHE QAYP"I"YOMW Gw'A�1M1111/���A�iY�D � <br /> TO REFUSAL UPON dk11)111MU- OMGOINO t3AILY DELMERIIES MUW HE BCH94ULED'WIYI}I n%-LANDFtt,M91T51 <br /> E- <br /> GENERATOR COPY MAAIIFESI <br />