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Ll Keller Canyon Li Ux Mountain u Newey ISlano L Forwara <br /> SanitaryL-and#ill- - - ­Sanitary Land <br /> -- fill Sanitary Landfill Landfill <br /> 90t Badu Rov 12310 San Mateo Road 1601 Dixonlanding Road 9999 S Austin Road <br /> Pittfturg,CA 445t5 Half Moon Bay, CA 94019 Milpitas,Ck95035 Manteca,CA 95336 <br /> Phone(92 }458-9800 one (650) 726-1819 Phone(408) 945-2800 Phone (209) 982-4298 <br /> Fax(925)58-9891 Fa ) 726-9183 Fax (408)262-2871 Fax(209)982-1009 <br /> • NON-HAZARDOUS WASTE MANIFEST <br /> GENERATOR WASTE ACCEPTANCE NO. <br /> MAILING ADDRESS 3432 <br /> 12 n so 711 <br /> CITY, STATE,ZIP REQ IRED PERSONAL PROTECTIVE EQUIPMENT <br /> PHO11 <br /> Q GLOVES Q GOGGLES Q RESPIRATOR Q HARD HAT <br /> Q TY VEK ❑OTHER <br /> CON N SPECIAL HANDLING PROCEDURES <br /> S IGRMF&WAf1&TflM tAWN910111", DATE <br /> GENERATOR S CERTIFICATION I Wby certify &ps <br /> med t�r�ola hazardous <br /> waste as defined by 40 CFR Pert 2 title 22 o Ce I fiae been properly <br /> described dassifiedand packaged !s h pr Gon -cording to applicable <br /> mAND,H the waste Is a tnotrt»M dua orat ted has erdous waste <br /> totheLard Disposal Restridais I oard and we waste hes been treated in RECEIVING FACILITY <br /> aocordanoe with dta requirements of 40 CFR Part 266 and is no longer a hazardous waste as defined by <br /> 40 CFR Pan 261 <br /> WASTE TYPE <br /> O DISPOSAL ❑SLUDGE <br /> O CONSTRUCTION ❑WOOD ` <br /> O DEBRIS Q OTHER <br /> O SPECIAL WASTE <br /> GENERATING FACILITY <br /> 7 ELEVEN#19978 13%NORTH MAIN MEET <br /> SPORTIER NOTES VEHICLE LICENSE NUMBER TRUCK NUMBER <br /> uCIaNG INC � <br /> ADDRESS <br /> CITY,STATE,ZIP <br /> PHONE END PUMP BOTTOM DUMP TRANSFER <br /> SIG O UTHORIZED AGENT OR DRIVER DATE ROLL-OFFS F T- D VAN DRUMS <br /> / -._ L) , ❑ Q1 (3�k ` — <br /> r � v <br /> CUBIC YARDS <br /> I hereby certify that the above named material has been 16 YARDS- <br /> accepted and to the best of my knowledge the foregoing DISPOSAL METHOD (TO BE COMPLETED BY LANDFILL) <br /> la true and accurate. <br /> DISPOSE OTHER <br /> EMARKS Q SOIL <br /> r Kms, <br /> U CONSTRUCTION <br /> FACI LITY TJGKET NUMBER DEBRIS <br /> Q NON-FRIABLE <br /> ASBESTOS <br /> SIGNA RE OF U ORIZED AG QAT <br /> O WOOD <br /> ❑ASH <br /> Q SPECIAL OTHER <br /> SCHEOULWIGAMOTSE MADE PRIORTCQ;;b0 P.M.THE DAY PRII)RTO EXPECTED ARRIVAL a ANY UNSCHEDULED LOADS ARE SUBJECT <br /> TO REFUSAL UPON ARRIVAL. ONGOI Q DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> SALES COPY MANIFEST# 2 2 5119 <br />