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I 1 RCIICSI�itilly�lll�s ax*;�`,a'y.t('tl',�if]C IIf1VIJlltill111 3?x� S .} 'i Lj r%t;WL# lai a11u - <br /> t=1 J12 ht s r Sriev ya , y 7th S * L J tt.v��:oa v <br /> Landfill Sani#a ,La11dfN(' Soni# Landfill - Landfill <br /> ., r r,- ry , <br /> 901 Battey*Road t 123WSan Malleo Fto�d 1601 Dixon Landing Road 9999 S Austin Roac <br /> Pittsburg,CA 94565 Half Moon Say,CA 94019 Milpitas,CA 95035 Manteca,CA 95336 <br /> Phone(925)458-9800 Phone(650)726-1819 Phone(408)945-2800 Phone(209)982-42 <br /> Fez(925)458-9891 Fax(650)726-9183 Fax(408)262-2871 Fax(209)982-1009 <br /> NON-HAZANDOU6i WASTE MANIFEST , <br /> GENERATO <br /> WASTE ACCEPTANCE NO. <br /> MAILING ADDRESS I <br /> _ <br /> O <br /> CITY,STATE,ZIP REQUIRED PERSONAL PROTECTIVE EQ IPMENT <br /> PHONE O GLOVES ; 0 GOGGLES O RESPIRATOR 0 HARD HA' <br /> 0 TY VEK 0 OTHER <br /> CONTACT PERSON SPECIAL.HANDLING PROCEDURES <br /> SIGNATURE OF AUTHORIZED AGENT/TITLE DATE <br /> So <br /> GENERATOR 5 CERTIFiCA710N I hereby certty that the above named material is not a hazardous <br /> W_, <br /> as defined by 40 CFR Part 261 Or aua 22 of the Cat,iomia coda of regulations has been property <br /> deacr�ed tiassified and packaged and to in proper condign for transpoAetwn a cording ro applicable <br /> regutat,oro AHb,It the waste Ia•treatment reaIdw of•pravbusy realricted hanMoua waste <br /> subsea ro me►and Otsposal Restrictions I candy and werrenl that me Waste rias been treated.n RECEIVING FACILITY <br /> accordance with the requvements of 40 CFR Part 268 and is no longer a hazardous waste as defined by <br /> 40 CFR Part 261 <br /> WASTE TYPE <br /> O DISPOSAL 0 SLUDGE <br /> •CONSTRUCTION 0 WOOD <br /> O DEBRIS .94THER <br /> O SPECIAL WASTE <br /> GENERATING FACILITY <br /> TRANSPORTER NOTES VEHICLE LICENSE NUMBER TRUCK NUMB <br /> ADDRESS <br /> CITY,STATE,ZIP <br /> PHONE ki 7.2 IEND DUMP BOTTOM DUMP TRANSFER <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROW-OFF(S) FLAT-BED VAN DRUMS <br /> ❑ ❑ ❑ f ❑ <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 /> j DISPOSE OTHER <br /> REMARKS O SOIL <br /> ❑CONSTRUCTION <br /> FACILITY TICKET NUMBER DEBRIS <br /> 0 NON-FRIABLE <br /> SIGNATURE A ORiZ AGENT DATE r <br /> ASBESTOS <br /> 0 WOOD <br /> o ASH <br /> * 3 SPECIAL OTHER <br /> SCHEDULING MUST BE MADE PRIORTO 3.00 RM THE DAY PRIORTO EXPECTED ARRIVAL-ANY UNSCHEDULED LOADS ARE SUBJE <br /> TO REFUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES^MUST BE SCHEDULED WITH THE LANDFILL.THE,DAY ySEFOF <br /> _ i #µ i n, �: ... '+4� ,- �Y '��',�`ti`e F ^'- t'.a_ �°�a} *AAPi1FF�;T� ;3�-ate•J",���'- <br />