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❑ Keller Canyon ❑ Ox Mountain,, , ❑ Newby Island ❑ Forward <br /> Sanitary �anjflli Sanitary Landfill Sa It arx Landfill Landfill <br /> 901 Barley Rood 12310 San Mateo Road 16 1 Dixey nding Road 9999 S Austin Road <br /> PittsT3urg GA 94565 Half Moon Bay, CA 94019 Mi etas, 5035 Manteca,CA 95336 <br /> Phone(925)458-986 ' phone(650) 726-1819 Phone(408J-045-2800 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 /> GENfumbl WASTE ACCEPTANCE NO. <br /> MAl — <br /> CIDbMA W75224,ozs4 REQUIRED PERSONAL PROTECTUIVE EQUIPMENT <br /> RHO 429 9466 ❑GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> Q TY VEK ❑OTHER <br /> CON <br /> MANI��AS AGENT SPECIAL HANDLING PROCEDURES <br /> SIGNATURE OF AUTHORIZED AGENT/TITLE DATE <br /> 1-7 <br /> 71C " <br /> o <br /> L <br /> C RTI N e fy t e Warned ma rdoue <br /> w es by40 CFR Part 261 or ti of ttre ifomia s en properly <br /> ified erg pscJcaped and I pr diLon y e cording to applicable <br /> ngrdatlor+s AND,N the waste is a trsatrrtant id aT a pr+ Wyle tad hezaMow create <br /> iublect b the tend Dispcaal Restrictions t cehrty end warrant th the waste fres bean treated in RECEIVING FACILITY <br /> a000rdanca with the requlrementa at 40 CFR Part 268 and is no longer a hazardous waste as defined by <br /> 40 CFR Part 261 <br /> WASTE TYPE <br /> ❑DISPOSAL ❑SLUDGE <br /> ❑CONSTRUCTION ❑WOOD <br /> ❑DEBRIS ❑OTHER <br /> ❑SPECIAL WASTE <br /> GEN N STFZEET <br /> x- <br /> RqEy TRUCIONG INC NOTES VEHICLE LICENSE NUMBER TRUCK NUMBER <br /> ADD <br /> CITYTO CA 9W29' <br /> PHO END UMP BOTTOM DUMP TRANSFER <br /> SIGNATURE OFAUTHORIZEDAGENT OR DRIVER DATE ROLL F S FLAT: VAN DRUMS <br /> CUBIC YARDS IRYARQS <br /> I hereby certify that the above named material has been <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 /> FTE-MARKS <br /> ❑CONSTRUCTION <br /> FACILITY TICKET NUMBER DEBRIS <br /> ❑NOM-FRIAF LE <br /> ASBEST�SS <br /> SIG R A ORIZE ENT DATE <br /> � ❑woQ <br /> ll ❑ASH <br /> PECIAL OTHER ' <br /> MUST BE MAD TO 3:00 RM.THE DAY P2IORTO EXPECTED ARRIVAL*ANY UNSCHEDULED LOADS ARE SUBJECT <br /> TO REFUSAL UPON ARRIVAL. ONGOING DAILY DELtVE IES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> SALES COPY r MANIFEST#225126 <br />