Laserfiche WebLink
❑ Keller Canyon ❑ Ox Mountain ❑ Newby Island ❑ Forward <br /> Sanitary Landfill Sanitary LandfillSanitary 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 s 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 1 Fax(209)982-1009 <br /> NON-HAZARDOUS WASTE MANIFEST <br /> GENERATOR WASTE ACCEPTANCE NO. <br /> Mary Sanchez <br /> MAILING ADDRESS — <br /> 0 321 <br /> CITY, STATE,ZIP REQUIRED PERSONAL PROTECTIVE E UIPMENT <br /> 1;tninktan-GA 95203 ❑GLOVES ❑GOGGLES ❑RESPIRATOR O HARD HAT <br /> PHONE p TY VEK ❑OTHER <br /> CONTACT PERSON SPECIAL HANDLING PROCEDURES <br /> Dave Thretfalls <br /> SIGNATURE OF AUTHORIZED AGENT/TITLE DATE <br /> G ENEF ATOR S CERTIFICATION I hereby cerufy drat the above named material rs not a hazardous <br /> waste as defined by 40 GFR Part 261 or title 22 of the California code of regulatkm has been property <br /> described classified and packaged and is In proper condition for transportation&-cording 10 applicable <br /> regulations AND,it the waste Is a trietmeM nWIdU&of a Pravicusty restrieW hazardous waste <br /> subject 10 the rand Disposal Reston I certify and warrant that the waste has been treated In RECEIVING FACILITY <br /> accordance with the requirements of 40 GFR Pari 268 and is no longer a hazardous waste as defined by <br /> 40 CFR Part 261 <br /> WASTE TYPE <br /> * DISPOSAL Q SLUDGE <br /> * CONSTRUCTION O WOOD <br /> a DEBRIS ❑OTHER <br /> 7 SPECIAL WASTE <br /> GENERATING FACILITY <br /> 168 76 Country Club Blvd, Stockton, CA 95203 <br /> TRANSPORTER NOTES VEHICLE LICENSE NUMBER TRUCK NUMBER <br /> Manley& Sons Trucking, In c�z �$� c? <br /> ADDRESS <br /> 88Q6 Eldimir Qr",k Rd <br /> CITY, STATE,ZIP <br /> PHONE SacMMento CA 95828 END DU BOTTOM DUMP TRANSFER <br /> 918 3AI-6ARA <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS FLAT-BED VAN DRUMS <br /> CUBIC YARDS <br /> I hereby certify that the above named material has been IS Yards <br /> accepted and to the best of my knowledge the foregoing DISPOSAL METHOD (TO BE COMPLETEUY LANDFILL) <br /> Is true and accurate. <br /> r DISPOSE OTHER <br /> O SOIL <br /> REMARKS ❑CONSTRUCTION <br /> DEBRIS <br /> FACILITY TICKETNUM13ER 0 NON-FRIABLE <br /> ASBESTOS <br /> Ad SIGNATURE OF AUTHORIZED AGENT DATE a WOOD <br /> O ASH <br /> 7�C U SPECIAL OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 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# 52898 <br />