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❑ Keller Canyon ❑ Ox Mountain ❑ Newby Island ❑ Forward <br /> Sanitary Landfill Sanitary Landf€II 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,CA 94019 Milpitas,CA 95035 Manteca,CA 95336 <br /> Phone (925)458-9800 Phone(650)726-1819 Phone(408)945-2800 Phone (209)982 <br /> Fax(925)458-989, Fax(650)726-9183 Fax(408) 262-2871 Fax(209)982-1 <br /> NON-HAZARDOUS WASTE MANIFEST <br /> GENERATOR <br /> WASTE ACCEPTANCE NO <br /> MAILING ADDRESS "� n r <br /> CITY,STATE,ZIP / .. ►�� _,�a, , ' - REQUIRED PERSONAL PROTECTIVE E UIPMENT <br /> PHONE 0 GLOVES 0 GOGGLES 0 RESPIRATOR to HARD HAT <br /> 0 TY VEK 0 OTHER <br /> CONTACT PERSON <br /> SPECIAL HANDLING PROCEDURES <br /> SIGNATURE OF THO I, AUNT-/TITLE / DATE <br /> J� 11 <br /> {� �'f i4t)"t <br /> �E R/ hR S RTIFICATIQN}jhe by ceAaty that the above named material is nota ardour{ / <br /> wa$tte 'define y 4D GFR Pah 2t;f or ll" 22 Et the California code of regulations has been propeAy <br /> Gas ied and packaTo and is in proper condition for transportation a-cording to applicabie <br /> E <br /> r Mations AI If the waste Ij.,a treatment teeldue of a pravloua►y restricted hazardous waste <br /> Subject to the Kano Disposal Re tncnons I cehify and warrant that the waste has been treated in <br /> accordance%,Ih the requuemen o!40 CFR Part 268 and is no longer a hazardous waste as defined by RECEIVING FACILITY <br /> 40 CFR PflAt <br /> WASTE PE <br /> .�CibISPOSAL Q SLUDGE <br /> O CONSTRUCTION ❑WOOD ,�,.i)l i-1 r' a C41 <br /> 0 DEBRIS O OTHER <br /> 0 SPECIAL WASTE <br /> GENERATING FACILITY <br /> TRANSPORTER NOTES VEHICLE LICENSE NUMBER TRUCK NUMBER <br /> ADTT y .Sp, <br /> CITY,STATE,Z(,IP <br /> 7 tr ``A ?4 I rl -; S <br /> PHONE } <br /> END DUMP BOTTOM DUMP TRANSFER <br /> SIG A URE OF AUT ORIZED AGENT OR DRIVER DATE <br /> ROLL <br /> -OFF S FLAT BED VAN DRUMS <br /> oil <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 <br /> is true and accurate DISPOSAL METHOD (TO BE COMPLETED 8Y LANDFILL) <br /> DISPOSE OTHER <br /> REMARKS Q SOIL <br /> Q CONSTRUCTION <br /> FACILlTYTICKETNUMBER Elf DEBRIS <br /> Q NON-FRIABLE <br /> SIGNATURE OF AUTFfORIZEDAGEN'fDATE ASBESTOS <br /> [ ? 0 WOOD <br /> Q ASH <br /> 0 SPECIAL OTHER <br /> SCHEDULING MUST BE MADE PRIORTO 3.00 P M THE DAY PRIOR TO 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 />