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❑ Keiler Canyon ❑ Ox Mauntirl _ T� Ne11�1,irana LJ ro ria <br /> Sanitary Landfill Sanitary Landfill Sanitary landfill - ?L`ar1�{'� <br /> 901 Salley Road 12310 San Mafoo R0 z' 1601 Dixop Landing Road 9999 S Austin Road <br /> Pittsburg,CA 94565 Half Moon Bay,CA 94019 `M11pit�.TMCA 05fk�5'' Miantec ;°CA 35336 <br /> Phone(925)458-9800 Phone(650)726-1819 Phone(406)'945-2800 Ph6ile(209)882-4298 <br /> Fax(925)458-9891 o Fax(650)726-9183 Fax(408)26t-2871 Fax(200)982-1009 <br /> 44 NON-HAZARDOUS WASTE MANIP9$T r <br /> GENERATOR WASTE`-ACCEPTANCE NO. <br /> Ma Sanchez <br /> MAILING ADDRESS #-3212- <br /> 1633 W Walnut Street <br /> CITY, STATE,ZIP REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> st=htw Q-6 95203 ❑GLOVES ❑GOGGLES O RESPIRATOR O 14ARD HAT <br /> PHONE ' <br /> ❑TY VEK Q OTHER <br /> CONTACT PERSON SPECIAL HANDLING PROCEDURES <br /> SIGNATURE OF AUTHORIZED AGENT/TITLE DATE <br /> GENS TOR's mffnmCATION.I hereby oertlhr that the above nart+ed malorud is not a hazardous <br /> waste as deflnod by 40 CFR Part 261 or title 22 of the CeNfmrda code of regulations,has boon vv* <br /> described, sa <br /> dailled and packaged.and is in Prayer condition fat transPartiMW axording t0oPPtlr�Wo <br /> regutabons'AND.N the WOOS is a VwM"M residua of a Previou8V restricted hanerdoior«rafts RECEIVING FACILITY <br /> subted W the Land OisPosel Resuidions 1 oerdfy and warrant that the waste has been trsalod in <br /> accordance with the raquirernenls of 40 CFR Part 266 and is no 19xrget'a huxelms waste as daN ud by <br /> 40 CFR Part 261 <br /> WASTE TYPE <br /> O DISPOSAL ❑SLUDGE <br /> *CONSTRUCTION O WOOD <br /> ❑DEBRIS ❑OTHER r <br /> D SPECIAL WASTE <br /> GENERATING FACILITY <br /> 1876 Country Club Blvd, Stockton, CA 95203 <br /> TRANSPORTER NOTES VEHICLE LICHEN/SE NUMBER TRUCK NUMBER <br /> g0 'S I <br /> S <br /> ADDRESS <br /> RA <br /> CITY,S <br /> PHONE END P BOTTOM DUMP TRANSFER <br /> SIGN A ORIZED AGENT OR DRIVER DATE ROLL-OFFS FLAT-SED A DRUMS <br /> Ll <br /> CUBIC YARDS <br /> I hereby certify that the-above named material-has been <br /> accepted and to the best of my knowledge the foregoing DISPOSAL METHOD (TO BEMPLETED BY LANDFILL) <br /> Is true and accurate. Ili •1 <br /> DISPOSE I OTHER <br /> .3 x s ,'6'+i .,s N , r-'. a r V 4�4 w*ft�.�.•t4,a y}, 4�'i', « ^, <br /> EMARKS 0 CONSTRUCTION <br /> DEBRIS <br /> FACILITY TICKET NUMBER 0 NON-FRIABLE <br /> ASBESTOS <br /> SIGNATURE QF AUTHORI AGENT DATE O WOOD <br /> ❑ASH <br /> O SPECIAL OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 3:00 P M.THE DAY PRIOR TO EXPEG*D ARRIVAL*ANY UNSCHEDULED LOADS ARE SUBJECT <br /> TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> _ _ TRANSPORTgR COPY - — _ MANIFEST 0 52887 - <br />