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�,r 'FTr`riry-j1:^ _ _ r /BVI ww 2 <br /> anyo w�r, �?'^°� U'ox ount �->< �s��` - 1-n, woy,� sl8ina�F, + , �nd i, <br /> rim IS�f- '// r '4.a j ; .kl1t d 2 "* �j' t, � 1''ti'"S r,'4.x�,, w 4:a+^ - �Y- t• ` fill <br /> '' t .,Saft tart'Lanndfill 3 �z+' Sanitany�Landfiii ;1 F--� ` Sanitaryk Landfill f <br /> �.�mr �,a <br /> rw '3,,904alle�Roads> 12310`San'>4lateo°Road 1601 DtxorrLandtng Road 9999 S Austro Road <br /> Pittsburg,CA 94565 Halt Moot 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-H ARDOUS WASTE MANIFEST <br /> man <br /> GENERATOR WASTE ACCEPTANCE NO. <br /> MAILING ADDRESS 1 <br /> CITY, STATE, ZIP D 2 - REOUIRED PERSONAL PROTECTIVE 0 IPMENT <br /> - 0GLOVES U GOGGLES O RESPIRATOR Q HARD HAT <br /> PHONE <br /> U TY VEK O OTHER <br /> CONTACT PERSON SPECIAL HANDLING PROCEDURES <br /> SIGNATURE OF AUTHORIZED AGENT/TITLE DATE i <br /> GENERATOR S CERTIFICATION I hereby certify that the above named material,s not a hazardous <br /> waste as defined by 40 CFR Part 261 or bile 22 of the California code of regulabons has bean property <br /> described classified and packaged,and is in proper condition for transportation a^cordfng to applicable <br /> regulations AND,M the:waste Is a treatment residue of•prevlousty restricted hazardous waste <br /> subject to the Lard Disposal Restrictions I certify and warrant that the waste has been treated in RECEIVING FACILITY <br /> accordance with the requirements of 4o CFR Part 268 and is no longer a hazardous waste as defined by <br /> 40 CFR Part 261 <br /> WASTE TYPE <br /> O DISPOSAL A ❑SLUDGE <br /> O CONSTRUCTION U WOODr <br /> U DEBRIS OTi11`R <br /> > O SPECIAL WASTE <br /> ENERATING FACILITY <br /> TRANSPORTER,. NOTES VEHICLE LICENSE NUMBER TRUCK NUMBER <br /> ADDRESS 71a <br /> t� CITY.STATE,ZIP ' ' z/ <br /> PHONE END DU BOTTOM DUMP TRANSFER <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS FLAT-BED VAN DRUMS <br /> >AC it, <br /> CUBIC YARDS ` <br /> 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 /> 4 SOIL <br /> REMARKS Q CONSTRUCTION <br /> DEBRIS <br /> FACILITY TICKET NUMBER Y ❑ NON-FRIABLE <br /> ASBESTOS <br /> SIGNATU E OF UTHORIZED GENT'S DATE <br /> O WOOD <br /> IcAS <br /> v <br /> PtOALOTHERl <br /> n� <br /> SCHEDULING MUST BE MADE PRIORTO 3 00 P M TILE DAY PRIORTO EXPECTE UNSCHEARRIVAL•ANY DULED LOADS ARE SUB JE <br /> TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY,BEFOi <br /> + , 4 � <br /> :. ._ t r , MANIFEST•Yf :7/,(->t "a` <br />