Laserfiche WebLink
❑ Keller Canyon ❑ Ox Mountain . ❑ Newby Island ❑ Forward <br /> Sanitary Landfill Sanitary Land#III Sanitary Landflll 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)45849800 Phone(650)726-1819 Phone(408)945-2800 Phone (209) 982-4298 <br /> Fax(925)45`8-9891 Fax(650) 726-9183 Fax(408)262-2871 Fax(209)982-1009 <br /> NON-HAZARDOUS WASTE MANIFEST <br /> GENERATOR WASTE ACCEPTANCE NO. <br /> MAI IA ESS —3432 <br /> CITY REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> PH <br /> ❑GLOVES ❑GOGGLES U RESPIRATOR ❑HARD HAT <br /> U TY-VEK ❑OTHER <br /> CO N SPECIAL HANDLING PROCEDURES <br /> SEG DATE <br /> eEN S CERn A l?N 1616 ce t91 a named a t�axardous <br /> waste as deftned by 40 CFR PAA 281 tle 22 of ir <br /> e been Pro Y <br /> dasorbad dassilied and packaged is in propi _*N ng to opplkaWe <br /> ►rppularw AND,11 the waste is a trsatmerd reale of a I ry restricted hazardous waste <br /> subled to the land Disposal RestrMons I certdy and warren at the waste has been treated in RECEIVING FACILITY <br /> accordance with the raqukaments of 40 CFR Port 2W and rs no longer a hazardous waste as defined by <br /> 40 CFR Pert 2131 <br /> WASTE TYPE <br /> U DISPOSAL ❑SLUDGE <br /> O CONSTRUCTION U WOOD <br /> U DEBRIS ❑OTHER <br /> O SPECIAL WASTE <br /> GENERATING FACILITY <br /> 7 ELVEN#1 W76 13M NORTH MAIN STRIi=ET <br /> hNSPORTER NOTES VEHICLE LICENSE NUMBER TRUCK NUMBER <br /> -4ft-MANLEXTRUCIGNG, INC. <br /> ADD <br /> RQAM <br /> COIN , <br /> GA 96829 <br /> PH END DUMP BOTTOM DUMP TRANSFER <br /> SIG THORIZED AGENT OR DRIVER DATE ROLL F S FLAT-BED VAN DRUMS <br /> ❑ ❑ ❑ ❑ <br /> CUBIC YARDS <br /> I hereby certify that the above named material has been 1 B 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 /> U SOIL <br /> 'REMARKS <br /> O CONSTRUCTION <br /> FACILITY TICKET ALIMBER DEBRIS <br /> U NON-FRIABLE <br /> ASBESTOS <br /> SIG NA OF U HORIZED A NT DATE <br /> ❑WOOD <br /> y <br /> Q ASH <br /> ❑SPECIAL OTHER <br /> SCHIErDULIN MUST BE MADE PRIORTO 8.00 P.M.THR DAY PR ORTO EXPECTED ARRIVAL a AN ULED LOADS ARE SUBJECT <br /> TO REFUSAL UPON ARRIVAL. ON06ING DAILY DELIVERIES MUST BE SCHEDULED �DFILL THE �AY BEFORE. <br /> SALES COPY ,* I .x FEST#225116 <br />