Laserfiche WebLink
LJ Keller Canyon U ox Mountain W* U Newby Island U Forward <br /> .SanitaiyL-andhif - - ---Sanitary Landfill Sanitary Landfill Landfill <br /> 601 Bailey Road 12310 San Mateo Road 1601 Dixoq 4nding Road 9999 S Austin Road <br /> P111,1*0g,CA 94565 Half Moon Bay, CA 94019 Milpitas,s'A 05035 Manteca,CA 95336 <br /> Phone(925)458-9800 Phone (650) 726-1819 Phone (408)945-2800 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 /> GENERATOR WASTE ACCEPTANCE NO. <br /> MAILING ADDRESS X432 <br /> Pn Box 111 <br /> CITY,STATE,ZIP REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> ❑GLOVES ❑GOGGLES ❑RESPIRATOR U HARD HAT <br /> P <br /> ❑TY-VEK ❑OTHER <br /> C A ON SPECIAL HANDLING PROCEDURES <br /> SIM, I DATE <br /> * /2 , -h Z <br /> GENERATORS CERTIFICATION l by My that lhdabove named mat I'll to hazardous rr <br /> waste as dented by 40 CFR Part� Oda 22 of thho airfomia code of U, properly <br /> desorbed classified and Is in nditi r to appbcable <br /> regulations AND,If the waste Is a trwtment red of tWcted hazardous waste <br /> etrb W to the Lard Disposal Restrictions I certily wa n waste has been treated in RECEIVING FACILITY <br /> accordance with the requirements of 40 CFR Part 68 and m longer a hazardous waste as defined by <br /> 40 CFR Part 261 <br /> WASTE TYPE <br /> O DISPOSAL ❑SLUDGE <br /> O CONSTRUCTION ❑WOOD <br /> 0 DEBRIS ❑OTHER <br /> 0 SPECIAL WASTE <br /> GENERATING FACILITY <br /> T ELEVEN#191976 1359 NORTH MAIN STREET <br /> NSPORTER NOTES VEHICLE LICENSE NUMBER TRUCK NUMBER <br /> ADDRESS <br /> 2351 CITY,ST STATE, <br /> CA 95&19 <br /> PH END DUMP .BOTTOM DUMP TRANSFER <br /> SIE AUTHORIZED AGENT OR DRIVER DATE ROLL-OMS) FLAT BED VAN DRUMS <br /> �Y U <br /> 2 ,1 l� <br /> , <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 /> 0 SOIL <br /> REMARKS <br /> ❑CONSTRUCTION <br /> FACILITY TICKET NUMBER DEBRIS <br /> O NON-FRIABLE <br /> ASBESTOS <br /> SIGNATU OF AU ORIZED AG DATE <br /> � a wooD <br /> 1 � <br /> 1 O ASH <br /> I 0 SPECIAL OTTER <br /> SWEDUUN64IRWOE MADE PRIOR :00 RM-THE DAY PRIQRTO EXPECTED ARRIVAL-ANY UNSCHEDULED LOADS ARIE SUBJECT <br /> TO REFUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> SALES COPY L 151 <br /> MANIFEST#22 07 <br />