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❑ Keller Canyon ❑ Ox Mountain ❑ Newby island ❑ Forlalfold <br /> Sanitary Landfill Sanitary Landfill l Sanitary Landfill Landfill <br /> 901 Bailey Road 12310 San Mateo Road 1Q01 Dixon Landing Road 9959 S.Austin Read <br /> Pittsburg,CA 94565 Half Moon Bay,CA 94019 Milpitas,CA 95035 Mgn't"-CA 9036 <br /> Phone (925)458-9800 Phone(650)726-1819 Phone(408)945-2800 Phone(20%982-4298 <br /> Fax (925)458-9811x1 Fax(650)7?6-9183 Fax(408)262-2871 Fax(201)982-1009 , <br /> - IVON-HAZARDOUS WASTE MANIFEST <br /> GENEFIRMSprich9Z WASTE ACCEPTANCE NO. <br /> 11 <br /> MAILWQ u # 3212 <br /> — <br /> CITY,S REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> O GLOVES ❑GOGGLES ❑RESPIRATOR O HARD HAT <br /> PHONN2Cj -66-95399 <br /> 0 TY VEK ❑OTHER <br /> C0NTAFZ&.2WhL.. SPECIAL HANDLING PROCEDURES <br /> SIGNATURE OFAUTHORIZEDAGENT'TITLE DATE <br /> G f BATOR'S CERTIFICATION I hereby cortHy that Cru show named material fs nut a hazardous <br /> ate as oteflned by 40C <br /> Part 2131 a title 22 0!the CafflornFe code o!rapulatlorts,has bean propsry <br /> described olasallled and pe4kaped end is in proper porion for trenaportadon axrordinp ro apprxaWe <br /> regul'0.- AND M the waste b e treaLnent residue d a proriousy roatrktsd hazeniow weete <br /> subject to the I.arW plsposel Reatrtetiorre I certify and wanarrt thal the weals has been treated in RECEIVING FACILITY <br /> accordance with the requirements of 40 CFR Part 280 and iu no lanper a hazardous waste as dermad by <br /> 40 CFR Part 201 <br /> WASTE TYPE <br /> t_ <br /> Q DISPOSAL Q SLUDGE , <br /> 0 CONSTRUCTION ❑WOOD <br /> Q DEBRIS O OTHER <br /> Q SPECIAL WASTE <br /> GENERATING FACILITY <br /> 876 CounW Club , Stockton, CA 952T3 <br /> TRANSPORTER NOTES VE C N.WN1WERj TRUCK NUMBER <br /> ADDRESS - <br /> 61396 <br /> Elder Creek Rd <br /> CITY,STATE, IP <br /> SaC unto CA 95828 <br /> PHONE EN MP BOTTOM DUMP TRANSFER <br /> S19NATLfIE,9FAUT0RIZEDAGENTOR DRIVER DATE ROLL-OFFS FLAT-BED VAN DRUMS <br /> CUBIC YARDS <br /> I h reby certify that the above named material has been 18,Yards <br /> ac )ted 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 /> +_ E] Spit <br /> 9EMARKS <br /> CONSTRUCTION <br /> DEBRIS <br /> FACILITY TICKET NUMBER o NON-FRIABLE <br /> ASBESTOS <br /> SIGNATURE OF AUTHORIZED AGENT DATE <br /> ❑WOOD <br /> 412 <br /> O ASH <br /> 71C / Q SPECIAL OTHER Now <br /> SCHEDULING MUSTE ADEMORTO 3.00 P M THE DAY PRIORTO EXPECTED ARRIVAL•ANY UNSCHEDULED LOADS ARE SUBJECT <br /> TO REFUSAL UPON ARRIVAI3. ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> TRANBP_O ITER COPY-- _ _ _ __ MANIFEST# <br />