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❑ Keller Canyon ❑ Ox Mounthin ❑ Nbwl$y Eoldnd, LJ "rrwara <br /> Sanitary Landfill Sanitary Landfill Sanitary Landfill Landfill <br /> 901 Bailey Road 12310 Stan Mateo Road 1 1601 Dixon)~ending Road 9999 8 Austin Road <br /> Pittsburg,CA 94565 HaltMoon Bay,CA 94019 Milpitas,CA'ooO Mantow,OA 95336 <br /> Phone (925)458-9800 Phone(650)726-1819 Phone(40$)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 WASTE ACCEPTANCE NO. <br /> MAILING A DRESS -- <br /> 1633W Walnut Street <br /> CITY, STATE,ZIP REQUIRED PERSONAL PROTECTIVE-EQUIPMENT <br /> CA —03 ❑GLOVIES ❑GOGGLES O RESPIRATOR ❑HARD HAT <br /> PHONE Stockton, <br /> ©TY VEK O OTHER <br /> Cffi 399 <br /> ONTA N SPECIAL HANDLING PROCEDURES <br /> Dave Thwital <br /> SIGNATURE OF AUTHORIZED AGENT/TITLE DATE <br /> `643 <br /> IGEYCRAMFrs cpmFICATION I hereby dandy Ntal the above named material is not s har ft- <br /> w to as dstined by 40 CFR Patt 261 or tme 22 of the California coda d regtdatlons,hoe bean properly <br /> described dmIfied and packaged And Is in proper oondltion fdr trarnmudl-a—rdkv to applk ews <br /> reputations ANaq 11 the waste Is a treatment resldus Of a prevbcny matrleted hsztadoue waate RECEIVING FACILITY <br /> aubJect to the land blspoW Reeft0orta I certify and warrerrl that 9*waste has been treated In <br /> accordance With Ore requirements of 40 CFR Parl 268 and Is no longer a hazarckp-waste as defined by <br /> 40 CFR Part 261 <br /> IV ASTE TYPE <br /> ❑DISPOSAL U SLUDGE <br /> ❑CONSTRUCTION ❑WOOD <br /> ❑DEBRIS O OTHER <br /> ❑SPECIAL WASTE <br /> GENERATING FACILITY <br /> 1578 Country Club BIVd, Stockton, CA 95203 <br /> TRANSPORTERNOTES VEHICLE!LICENSE NUMBER TRUCK NUMBER <br /> ADDRESS <br /> CITY, STATE, <br /> PHONESaa'ramei;W, CA 95929 END DU BOTTOM DUMP TRANSFER <br /> SIGNATO EX EDAGENT OR DRIVER DATE ROLL-OFFS FiAT-BED VAN DRUMS <br /> _J <br /> CUBIC YARDS <br /> I hereby certify that the above named matbrial has been IS yards <br /> accepted and to the best of my knowledge the foregoing DISPOSAL METHOD (TO BE COMPLETED BY LANDFILL) <br /> Is true and accurate. P <br /> DISPOSE OTHER <br /> "Si,�QEI- y-f.—.,.1. ♦ 6a ..y a.r�Y ts— ri i} <br /> FIEMARKS ❑CON$TRUCTIO_N <br /> DE13RIS <br /> FACILITY TICKET NUMBER U NON-FRIABLE <br /> ASBESTOS' <br /> SIGNATURE OF AUTHORIZ GENT rDjO WOOD <br /> -� H <br /> r 11 P IAt-OTHER <br /> SCHEDUL MUST BE MADE PRIORTO 3.00 P.M THE DA Ptd On TO EXPECTED ARRIVAL a ANY UNSCHEDULED LOADS ARE SUBJECT <br /> TO REFUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY 2888 <br /> BEFORE. <br /> TRANSPORTER COPY MANIFEST 0 it D <br />