Laserfiche WebLink
❑ Keller Canyon p Ox Mountain ❑ Newby Islanid ❑ Forward <br /> Sanitary Landfill Sanitary Landfill Sanitary Landfill Landfill <br /> 901 Bailey Road 12310 San Mateo Road 1601 Dixon Lgrfding 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)4�8-9891 Fax(650)726-9183 Fax(408)262-2871 Fax(209)982-1009 <br /> IkN ` <br /> NON-HAZARDOUS WASTE MANIFEST <br /> GENERATOR WASTE ACCEPTANCE NO. <br /> MaSanchez <br /> MAILING ADDRESS <br /> 3 W Walnut Street <br /> CITY, STATE,ZIP REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> Stockton CA 95203 U GLOVES U GOGGLES U RESPIRATOR ❑HARD HAT <br /> PHONE <br /> 530 9 U TY VEK U OTHER <br /> CONTACT PERSON SPECIAL HANDLING PROCEDURES <br /> ave Threlfall <br /> SIGNATURE OFAUTHORIZED AGENT/TITLE DATE <br /> 411)1 <br /> �1-JL.4 tti <br /> GEN TDR S CUMPICA7ION i hereby ow"Chat the abwa named material Is not a hazardous <br /> waste as defined by 40 GFR Part 26f or title 22 of Cha Qdhrda*ode of repulaftms has been properly <br /> described classified and pedraged and is in proper oorabn for immportatl*n a-mmUq to appkAbls <br /> regulatlana AND6 It the waste is a treahnerd aesldue of a prenlausV resMeted hazardous waste <br /> sut jeci to the Land arsposm Restdetlons 1 Cerny and warrant that ft waste has been treated In RECEIVING FACILITY <br /> accordanoe with the requirements d 40 CFR part 268 and is no langer it hazardous waste as defined by <br /> 40 GFR Pan 281 <br /> WASTE TYPE <br /> U DISPOSAL ❑SLUDGE <br /> U CONSTRUCTION U WOOD <br /> U DEBRIS U OTHER <br /> ©SPECIAL WASTE <br /> GENERATING FACILITY <br /> 1876 Country Club Blvd, 'Stockton, CA 95203 <br /> TRANSPORTER NOTES VEHICLE LICENSE NUMBER TRUCK NUMBER <br /> Manley 8r Sons Trucking, Inc <br /> ADDRESS VWV <br /> 8836 Elder Creels Rd <br /> CITY, STATE,ZIP <br /> Sacramento, CA 95328 <br /> PHONE END DD0 BOTTOM DUMP TRANSFER <br /> 916 381-6864 ❑ <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 18 <br /> accepted and to the best of my knowledge the foregoing DISPOSAL METHOD (TJ PF CI(� PLETED BY LANDFILL) <br /> Is true and accurate. <br /> DISPOSE OTHER <br /> r r U SOT . 2, <br /> N EMARKS <br /> O CONSTRUCTION <br /> DEBRIS ' <br /> FACILITY TICKET NUMBER a NON-FRIABLE <br /> ASBESTOS <br /> SIGNATURE OF AUTHORIZED AGENT DATE <br /> ❑WOOD <br /> _ U ASH <br /> t ilk r IAL OTHER rP,, <br /> SCHEDULING MUSTMADE PRIORTO 3 00 P M.THE DAY PRIORTO 4pkCTED A�RIVAL-AR)f UNSCHEDULtD LOADS AAA SU"iUECT <br /> TO REFUSAL UPO ARRIVAL. ONGOING DAILY DELIVERIES musvr BE SCHEDULED VYIYH THE LANDFILL THE DAY BEFORE. <br /> 3RANsEORTERCOPY __ _I ffEST_ R _�_ <br />