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L Keller Canyon U ox Mountain ❑ Newby Island ❑ Forward <br /> Sanitary-Landfill ll - - ---Sanitary Landfill Sanitary Landfill Landfill <br /> 901 Bailey Rodd 12310 San Mateo Road 1601 Dixon Landing Road 9999 S Austin Road LF, <br /> Pittsburg,GA{94565 Halt Moon Bay, CA 94019 Milpitas,CA 95035 Manteca,CA 95336 <br /> Phone(925)458,4800 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 /> MAL KESS X37 <br /> CI3MA REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> P ❑4GLOVES 0 GOGGLES 0 RESPIRATOR O HARD HAT <br /> ❑TY VEK Q OTHER <br /> ON SPECIAL HANDLING PROCEDURES <br /> SI 1 DATE <br /> GE S CE IOM reby fy that §named not hazardous <br /> waste as defined by 40 CFR Part or title 22 of the Nfomia code of t s been properly <br /> desartbed de Mod and pada end is in P U tion a carding to applicable <br /> on' AND N the waste I a Ireafrn@nt res ue of s restricted hazardous west@ <br /> a m the Leurd Dlaposal Rastrictlons I certify and wawa t the waifs has been treated in RECEIVING FACILITY <br /> 40 CF @nae wdh the regrdramenta of 40 CFR Part 208 and is no longer a hazardous waste as defined <br /> 40 CFR Part 281 <br /> WASTE TYPE <br /> ❑DISPOSAL ❑SLUDGE <br /> Q CONSTRUCTION ❑WOOD <br /> ❑DEBRIS ❑OTHER <br /> O SPECIAL WASTE <br /> GENERATING FACILITY <br /> 7 ELEVEN #19976 1399 NORTH MAIN STREET <br /> NSPORTER NOTES VEHICLE LICENSE NUMBER TRUCK NUMBER <br /> AD04G / <br /> CI , REMO '/ <br /> - c <br /> PENTOND B TTOM DUMP TRANSFER <br /> SI HORIZED AGENT OR DRIVER' DATE ROL FFS FLAT-BED VAN DRUMS <br /> z ❑ ❑ ❑ ❑ <br /> * r zq <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 SE CgFAPLETED BY LANDFILL) <br /> Is true and accurate. <br /> --Y-" DISPOSE OTHER <br /> EMARKS 0 SOIL <br /> O CONSTRUCTION <br /> FACILITY TICKET NUMBER DEBRIS <br /> ❑NON-FRIABLE <br /> AS6ESTOS k <br /> SIGNATURE AUT RIZED AG NT DATE a <br /> j ❑WOOD <br /> f <br /> ❑ASH <br /> ` SIfCIAL OTHER <br /> SCHEDULING MUST BE MADE PRIOR TD 3:00 P.M.THE DAY PRIOR TO EXPECTED L*ANY UNSCHEDULED LOADS ARE SUBJECT <br /> TO REFUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST BE SCHEDULE WITH THE LANDFILL THE DAY BEFORE <br /> SALES COPY MANIFEST#2 2 5+♦1 O p <br /> i} L .L til <br />