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u Keller Lanyon L ux Mountain U Newby island L-� Forward <br /> Sanitary Landfill Sanitary Landfill Sanitary.Landfill Landfill <br /> 901 Bailey Road 12310 San Mateo Road 1601 Dixon Landing Road 9999 s.-Austin Road <br /> Pittsburg,CA:94565 Half Moon Bay, A 94 19 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(244)982-1009 <br /> NON-HAZARDOUS HASTE MANIFEST <br /> GENERATOR WASTE ACCEPTANCE NO. <br /> Ch v n <br /> #9-0557 <br /> MAILING ADDRESS31 <br /> P .O. Box #6004 <br /> CITY, STATE,ZIP REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> San Ramon CA 94583 ❑GLOVES 0 GOGGLES O RESPIRATOR 0 HARD HAT <br /> PHONE <br /> 405-942-8955= Q TY-VEK OTHER Level. . D <br /> CONTACT PERSON11 <br /> SPECIAL HANDLING PROCEDURES:. <br /> SIGNATURE OF AUTHORIZED AGENT 1 TITLE DATE f _ <br /> GENERATOR'S CERTIFICATION:I=by certify that Uw above named matarlal is not a hazardous ►� <br /> waste as defined by 40 CFR Pam 241 or title 22 of dw Callfomla coda of regulabona,has been Property <br /> described,classified and packaged.and Is In proper oortdition toe transportatbn ar cording to applicable <br /> regulabons;AND,ti the waste Is a trestrtwnt reswue of a previously restricted hazardous waste <br /> subject to the Land Disposal Restrictions,i certify and warrant that the waste has been treated In RECEIVING FACILITY <br /> accardanre with the requirements of 40 GFR Part 268 and is no longer a hazardous waste as defined by <br /> 40 CFR Part 261. <br /> WASTE TYPE: <br /> Q DISPOSAL O SLUDGE <br /> 0 CONSTRUCTION 0 WOOD <br /> .0 DEBRIS 0 OTHER <br /> 0 SPECIAL WASTE <br /> GENERATING FACILITY <br /> Chevron #9-0577 <br /> 139 Sa en S rp .t 4 r- <br /> TRANSPORTER NOTES: VEHICLE LICENSE NUMBER TRUCK NUMBER <br /> YWM Inc. <br /> ADDRESS <br /> 950 Ames Lvenue <br /> CITY, STATE,ZIP <br /> Nf ' <br /> PHONE END DUMP BOTTOM DUMP8-942-895 <br /> TRANSFER <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS FLAT-BED VAN DRUMS <br /> CUBIC YARDS <br /> I hereby certify that the above named material has been ± 20 CY ,• <br /> accepted and to the best of my knowledge the foregoing DISPOSAL METHOD: (TO BE COMPLETED BY LANDFILL) <br /> Is true and accurate. <br /> r ... <br /> DISPOSE OTHER <br /> 0 SOIL <br /> REMARKS <br /> ❑.CONSTRUCTION <br /> DEBRIS ' <br /> FACILITY TICKET NUMBER 0 NON-FRIABLE ` <br /> ASBESTOS <br /> SIGNATURE OF AUTHORIZED AGENT DATE <br /> WOOD <br /> f SH <br /> 7iC 0 SPECIAL OTHER <br /> SCHEDULING MUST BE MADE PRIORTO 3:0M.THE DAY PRIORTO EXPECTED ARRIVAL a ANY UNSCHEDULED LOADS ARE SUBJECT0 p <br /> TO REFUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE <br /> DAY_1 FORE <br /> MANIFEST M 4 u <br /> TAAA7COl10Y'FA I"F10W <br />