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❑ Keller Canyon ❑ Ox Mountain, �, ❑ Newby Island ❑ Forward <br /> San4ary Landfill Sanitary Landfill $anitary Landfill Landfill <br /> 9,01 Baile ead 12310 San Mateo Road 1601 Dixon Landing Road 9999 S Austin Road <br /> PIttS�Or-, A 94565alf Moon Bay,CA 94019 Milpitas,CA 95035 Manteca,CA 95336 <br /> Phone(925)458-9800 ne(650) 726-1819 Phone(408)945-2800 Phone (209) 982-4298 <br /> Fax (925)458-9891 Fax ft) 726-9183 Fax(408)262-2871 Fax(209)982-1009 <br /> NON-HAZARDOUS WASTE MANIFEST <br /> GENERATOR WASTE ACCEPTANCE NO. <br /> MAL G ADDRESS —3432 <br /> CI REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> PH ❑GLOVES ❑GOGGLES ❑RESPIRATOR 0 HARD HAT <br /> 0 TY VEK ❑OTHER <br /> C N SPECIAL HANDLING PROCEDURES <br /> SI /Wff DATE <br /> 7�C <br /> G E SCE I I ION 1 he[ above named m not a hazardous <br /> waste as defined by 40 CFR Pal 281 title 22 of Ih aldomia code been properly <br /> dwarbed classified and packaged d Es N p drt f roordrng to appltcabla <br /> regulations AND,If the waste Ise atmant at restricted he...ardour waste <br /> subset to the Land Oiaposel Reatriciions Ice war the waste has tleen vested in RECEIVING FACILITY <br /> accordance with the roquiremants of 40 CFR PArt end o loryer a hazardous waste as defined by _ <br /> 40 CFR Part 261 <br /> WASTE TYPE w <br /> ❑DISPOSAL ❑SLUDGE <br /> ❑CONSTRUCTION ❑WOOD <br /> O DEBRIS ❑OTHER <br /> 0 SPECIAL WASTE <br /> GENERATING FACILITY <br /> i7 ELEVEN#19970 1399 NORTH MAIN STREET <br /> RANSPORTER NOTES VEHICLE LICENSE NUMBER TRUCK NUMBER <br /> t , <br /> AD <br /> CI , <br /> Vff"'ffl RG" <br /> P GA 9MR9 END DUMP BOTTOM DUMP TRANSFER <br /> RO FS FLAT-PW <br /> VAN DRUMS <br /> CUBIC YARDS <br /> I 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 /> ❑SOIL <br /> REMARKS <br /> d CONSTRUCTION <br /> FACILITY TICKET NUMBER DEBRIS <br /> ❑NON-FRIABLE <br /> ASBESTOS <br /> SIGNATURE UTHO ZE A ENT DATE <br /> (3 WOOD <br /> O ASH <br /> ICIAL OTHER <br /> SCHEDULING M ST BE 3: .M.THE DAY PRIORTO EXPECTED ARRIVAL+ANY UNSCHEDULED LOADS ARE SUBJECT <br /> TO REFUSAL U 1VAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> / SALES COPY MANIFEST#225108 <br />