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❑ Keller Canyon ❑ Ox Mountain " LJ riewDy 1S1k"_9 Y L.J vnrs�wsys <br /> S;nitary Landfill Sanitary Landfill Sanitary Landfill 'Ldndfi(I <br /> 901 Salley Road 12310 San Mateo Road 1601 Dizon Landing Road 9999S Austin <br /> 9Austin Road <br /> Pittsburg,CA 94565 Halt Moon BAy,CA 194019 Milpitas,CA-6 50 ,t caa CA 95 3¢ <br /> Phone (925)458-9800 Phone(650)726-1819 Phohe(408)905-21800 Phone(209)982-4298 <br /> Fax(925)456-9891 Fax(650)726-9183 Fax(408)262-2871 Fax(209)982-1009 <br /> i _ ,NON-HAZARDOUS WASTE MANIFEST <br /> GENERATOR Y WASTE ACCEPTANCE NO. <br /> Mary Sanchez <br /> MAILING ADDRESS <br /> 1633 W Walnut Street <br /> CITY,STATE.ZlP REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> Stockton CA 95203 O GLOVES O GOGGLES O RESPiRATQR U HARD HAT <br /> PHONE <br /> 530 665-5399 ❑TY VEK ❑OTHER <br /> CONTACT PERSON SPECIAL HANDLING PROCEDURES <br /> Dave Threlfall <br /> SIGNATURE OF AUTHORIZED AGENT/TITLE DATE <br /> GEN TOPS CERTIFICATION I hereby cagily that the above named rnatedel Is rat a hazardare <br /> W a as defined by 40 CFR Part 281 or 911a 22 of the Caltornla oode o1 regulations•hes bean propadY <br /> described ctasatfled and packaged and Is In proper oondlllon far Vanspoftoon axardinp to epptlrabla <br /> regulators,ANI],H the waste is a ueatment residue o1 a PkevbuslY restricted hazardous wast• RECEIVING FACILITY <br /> sub}ed ro the land Disposal RaetrlctEons I corny and warrant lhat the waste has baso treated In <br /> eceordarrce with the raqulrernents of 40 GFR Part 288 and Is ro longer a Nazardan walla as defined by <br /> 40 CFR Part 267, <br /> WASTE TYPE <br /> ❑DISPOSAL ❑SLUDGE <br /> ❑CONSTRUCTION O WOOD <br /> O DEBRIS ❑OTHER <br /> O SPECIAL WASTE <br /> GENERATING FACILITY <br /> 1878 COLIAby Club Blvd, Stockton, CA 95203 <br /> TRANSPORTER NOTES I VEHICLE LICENSE NUMBER TRUCK NUMBER <br /> — Manley 8 Sons TI uckln , inC <br /> ADDRESS <br /> 8896 Elder Creek Rd <br /> CITY,STATE,ZIP <br /> Sacramento CA 9'5828 <br /> PHONE END DU BOTTOM DUMP TRANSFER <br /> 91 B 38'1-6864 <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLLOFF S FLAT-1351) VAN DRUMS <br /> v3 <br /> CUBIC YARDS <br /> yI hereby certify that the above named material has been 18 Yards_ <br /> accepted and to the best of my knowledge the foregoing DISPOSAL METHOD (rO BE COMPLETECUlY LANDFILL) <br /> Is true and accurate. <br /> DISPOSE OTHER <br /> EMARKS ©CONZTRUCTION <br /> DEBRIS <br /> FACILITY TICKET NUMBER ❑NON-FRIABLE <br /> I ASBESTOS <br /> SIGNATURE OF AUTHORIZED AGENT DATE <br /> J � fl WOOD <br /> f U ASH <br /> G ❑SPECIAL OTHEi�� <br /> OL <br /> _ <br /> SCHEDULING MUST BE MkWBWbRTO 3.00 P M.THE DAY PRIORTO EXPECTED ARRIVAIL-ANY UNSCHEDULED LOADS ARE SUS.IECT <br /> TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> TRANSPORTER DOPYMANIFEST 452898 <br /> . „ - <br />