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❑ Keller Canyon ❑,Ox Moutltaln 11 L ' ;r 'Newby Island ❑ 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,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 /> Ma,iy Sanchez NON-HAZARDOUS WASTE MANIFEST <br /> GENERATOR <br /> I 6�5a nut-.3trefeE WASTE ACCEPTi#%AJ,0 <br /> MAILING ADDRESS <br /> 5 OC Oil <br /> CITY, STATE,ZIP REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> 53Ott - J J <br /> PHONE Q GLOVES Q GOGGLES ❑RESPIRATOR U HARD HAT <br /> Dave Threlfall ❑TY VEK ❑OTHER <br /> CONTACT PERSON <br /> SPECIAL HANDLING PROCEDURES <br /> SIGNATURE OFAUTHORIZEDAGENT/TITLE DATE <br /> GENERATOR S CERTIFICATION I hereby certify that the above named material is not a hazardous <br /> waste as defined by 40 CFR Part 261 or title 22 of the California code of mgulations has been property <br /> described classified and packaged and is in proper condidion for transportation a^oordng to applicable <br /> regulations AND,If the waste Is a treatment residue of a previously restricted hazardous waste <br /> subject to the Land Disposal RestncLons I certify and warrant that the waste has been treated in RECEIVING FACILITY <br /> accordance wrth the requirements of 40 CFR Part 266 and is no longer a hazardous waste as dermad by <br /> 40 CFR Part 26 <br /> WASTE TYPE <br /> Z1 DISPOSAL ❑SLUDGE <br /> :)CONSTRUCTION ❑WOOD <br /> J DEBRIS O OTHER <br /> �SPVA,Q­h 9teGkt9n, GA 95203 <br /> GENERAT G <br /> TRANSPORTER NOTES VEHICLE LICENSE NUMBER TRUCK NUMBER <br /> 8896 PIdpr Creek Rd <br /> ADDRESS <br /> CA 91--15210 <br /> CITY, STATE, i <br /> i <br /> PHONE END DU BOTTOM DUMP TRANSFER— <br /> S <br /> RANSFER <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS FLAT-BED VAN DRUMS <br /> Ll <br /> CUBIC YARD <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 BY LANDFILL) <br /> DISPOSE OTHER <br /> REMARKS O SOIL <br /> O CONSTRUCTION <br /> FACILITY TICKET NUMBER DEBRIS <br /> 0 NON-FRIABLE <br /> ASBESTOS <br /> SIGNATURE OF AUTHORIZED AGENT DATE <br /> ❑WOOD <br /> ❑ASH <br /> ❑SPECIAL OTHER <br /> SCHEDULING MUST BE MADE PRIORTO 3.00 P M THE DAY PRIORTO 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 /> GENERATOR COPY MANIFEST it 5 2 91-7 <br /> 17 <br />