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L_J \/A srsvrr.eamrs.s 1__.1 r►rrr,rl rv.Ytrrrr L__J r� � <br /> Sanitary Landfill Sanitary Landfill Sanitary Landfill Landfill <br /> 901 Bailey Road 12310 San Mateo Road 1601 DExon LandingSload 9999 S Austin Road <br /> Pittsburg,CA 94565 Half Moon Bay,CA 94019 Milpitas,CA 96034Marit$ca,CA 95336 <br /> Phone(925)458-9800 Prone(650)726-1819 Phone(408)945-2800 Phone(209)982-4298 <br /> Fax(925)458-9891 Fax(650)726-9183 Fax(408)262-2871 Fax(209)982-1009 <br /> _ NON-HAZARDOUS WASTE [MANIFEST <br /> GENERATOR <br /> MbSanchez MAST AGEOTAiCE N0. <br /> MAILING ADDRESS <br /> 1633 W Walnut Street <br /> CITY, STATE,ZIP REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> 5tackdon. CA 95203 ❑GLOVES ❑GOGGLES O RESPIRATOR ❑HARD HAY <br /> PHONE <br /> 520 r268_5.q�m ❑TY-VEK U OTHER <br /> CONTACT PERSON <br /> Days Ibrelfah SPECIAL HANDLING PROCEDURES <br /> SIGNATURE OF AUTHORIZED AGENT 1 TITLE DATE <br /> G EV915ATOR S CUMFICATIOhh I hereby certtty that the above named material is not a hazardous <br /> wile as defined by 40 CFR Part 261 or title 22 of the California code of regukdorm,has bean property <br /> desuibed daealfisd and packaged,and Is In proper oomktim for baneportatlon a-cordkg to applloabio <br /> regutatkxrs AND;d the weals is a treatment residue of a previously restricted hazardous waste <br /> ted in <br /> subject <br /> withdis�the Disposal <br /> ae�t of 440 CFA PM 268 and is no kmger a hazardous waste as deefirted by RECEIVING FACILITY <br /> 40 CFR Part 261 <br /> WASTE TYPE <br /> •DISPOSAL 0 SLUDGE <br /> ❑CONSTRUCTION Q WOOD <br /> Q DEBRIS ❑OTHER <br /> ❑SPECIAL WASTE <br /> GENERATING FACILITY <br /> 1878 Country Club Blvd, Stockton,CA 95203 <br /> TRANSPORTER NOTES I yr-WICLE LICENSE NUMBER TRUCK NUMBER <br /> ?S !_ G rr <br /> ADDRESS <br /> RAPS Elder Crwk Rd <br /> CITY, STATE,ZIP <br /> PHONESaCraMento END DUMP BOTTOM DUMP TRANSFER <br /> SIGNAAW A ORIZEDAGENT OR DRIVER DATE ROLL-OFFS FLAT-BED VAN DRUMS <br /> CUBIC YARDS <br /> I hereby certify that the above named material has been i$ Yards <br /> accepted and to the best of my knowledge the foregoing DISPOSAL METHOD (TO BE COMPLETED BY LANDFILL) <br /> Is true and accurate. <br /> DISPOSE OTHER <br /> - 0 SOIL,I r _ } .- t L . , , r <br /> EMARKS <br /> ❑CONSTRUCTION <br /> RIS <br /> FACILITY TICK ER N <br /> O NON-FRIABLE RIABL!~ <br /> ASBE6rros <br /> SIG R RIZEDAGENT DATE <br /> kH <br /> - O SPECIALOTHER <br /> HEPLING MUST BE MADE PRIORTO 3.00 P.M.THE DAY PRIORTO EXPECTED ARRIVAL-ANY UNSCHtDULED LOADS ARE SUBJECT <br /> T 4EFUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> __ TRANSKI19E8_0OPY ` _-- _ __— MANIFEST# <br />