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-anyon ❑ Ox Mountain, ,ir„ ❑ Newby Island ❑ Forward <br /> 4461tary Landfill Sanitary Landfill Sanitary Landfill Landfill <br /> 901 Bailey RoAd 12310 San Mateo Road 1601 Dixon Landing Road 9999 S Austin Road <br /> Pittsburg,CA 94565 Half(Moon Bay,CA 94019 Milpitas,CA 95035 Manteca,CA 95336 <br /> Phone(925)458-9800 '` one(650)726-1819 Phone(408) 945-2800 Phone(209) 982-4298 <br /> Fax(925)458-9891 Fax j*60 726-9183 Fax(408)262-2871 Fax(209)982-1009 <br /> 0 NON-HAZARDOUS WASTE MANIFEST <br /> GENERATOR WASTE ACCEPTANCE NO. <br /> MA R E S S X432 <br /> CI2-11P, REQUIRED PERSONAL PROTECTIVE E UIPMENT <br /> PH8ftbk,9U GLOVES U GOGGLES U RESPIRATOR U HARD HAT <br /> U TY-VEK U OTHER <br /> CO N SPECIAL HANDLING PROCEDURES <br /> SI DATE <br /> * /-- ,/ <br /> LIEN RTIF r rtily above named a not a hazardous <br /> waste defined by 40 CFR Part 261 or 22 of all mia code r6 i� bean properly <br /> described classified and packaged p t- ,cording to applicable <br /> Ions AND,if the waste Is a tree 00 o e 10 restrkled hazardous waste <br /> i�il to the Land Disposal Restnctions I and w the waste has been treated in RECEIVING FACILITY <br /> accordance with the requirements of 40 CFR P rt 266 no longer a hazardous waste as defined by <br /> 40 CFR Part 261 <br /> WASTE TYPE <br /> 0 DISPOSAL U SLUDGE <br /> O CONSTRUCTION U WOOD <br /> U DEBRIS 0 OTHER <br /> U SPECIAL WASTE <br /> GENERATING FACILITY <br /> 7 ELEVEN#19976 1399 NORTH MAIN STREET <br /> *AMNSPORTER NOTES VEHICLE LICENSE NUMBER TRUCK NUMBER <br /> AD ING <br /> PH eA ND TTOM DUMP TRANSFER <br /> LA L3 <br /> SI UTHOR ZED AGENT OR DRIVER DATE ROL F 5 FLAT�sF�p VAN DRUMS <br /> k <br /> CUBIC YARDS <br /> 1 hereby certify that the above named material has been 18 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 /> o SOIL <br /> EMARKS <br /> ❑CONSTRUCTION <br /> FACILITY TICKET NUMBER DEBRIS <br /> U NON-FRIABLE <br /> ASBESTOS <br /> SIGNATURE HMfZED AGENT1 DATE <br /> I 'C1 WOOD <br /> 0 ASH <br /> *' f <br /> O SPECIAL OTHER <br /> SCHEDULIN MUST BE M PRI TO 8: E D Y Pq ORTO EXPECTED ARRIVAL Is ANY UNSCHEDULED LOADS ARE susmCT <br /> TO REFUSAL UPON APRIVAL ONGOING DAILY DECIVERIIES MUST SE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> SALES COPY MANIFEST#225112 <br /> G25112 <br />