Laserfiche WebLink
LJ Keller Canyon U ox Mountain 06, �! Newby Island U Forward <br /> Sanitary-L-anditll- - - ---Sanitary Landfill Sanitary Landfill 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,CAk 95336 <br /> Phone(925)4F8-9800 Phone(650)726-1819 Phone(408)945-2800 Phone(209) 982-4298 <br /> Fax(92558-9891 Fax(650) 726-9183 Fax(408)262-2871 Fax (209)962-1009 <br /> NON-HAZARDOUS WASTE MANIFEST <br /> GENERATOR WASTE ACCEPTANCE NO. <br /> MA RESS --5432 <br /> CIINI*Lt 71V REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> PH U GLOVES 0 GOGGLES ❑RESPIRATOR 0 HARD HAT <br /> U TY VEK U OTHER <br /> C N SPECIAL HANDLING PROCEDURES <br /> SI a DATE <br /> 7k41, ju <br /> (iE TOR S CE FICATION I reby ndy tile,tp4 a named ter ardous <br /> waste as defined by 40 GFR Pan or Atte 22 of the G o is 6 has been properly <br /> deaafbad Classified and packs and a in proper <br /> dill n tion a cerd�np to applicable <br /> regulations AND,If the waste Is a treatment res of a sly restricted hazardous waste <br /> a 6u lect to the land Disposal Restrictions I certify warra that the waste has been treated In RECEIVING FACILITY <br /> with the requirements of 40 CFR Pan 2611 and is no longer a hazardous waste as defined by <br /> CFR Part 281 <br /> WASTE TYPE <br /> O DISPOSAL U SLUDGE <br /> U CONSTRUCTION Q WOOD <br /> Q DEBRIS U OTHER <br /> ❑SPECIAL WASTE <br /> GENERATING FACILITY <br /> 7 ELEVEN#19976 1395 NORTH MAIN STREET T� <br /> NANSPORTER NOTES VEHICLE LICENSE NUMBER TRUCK NUMBER <br /> AD ING - <br /> ENTO <br /> PH CA 96829 <br /> END M BOTTOM DUMP TRANSFER <br /> SI UTHORIZED AGENT OR DRIVER DATE ROL FF S FLAT-BED VAN DRUMS <br /> CUBIC YARDS <br /> 1 hereby certify that the above namdd material has been 18 YARDS <br /> accepted and to the best of my knowledge the foregoing <br /> is true and accurate. DISPOSAL METHOD (TO BE COMPLETED BY LANDFILL) <br /> DISPOSE OTHER <br /> U SOIL <br /> REMARKS <br /> o CONSTRUCTION <br /> FACILITY TICKET NUMBER DEBRIS <br /> Q NON-FRIABLE <br /> ASBESTOS <br /> SIGNA R OFAMqRIZED AGE DATE <br /> r � <br /> ❑WOOD <br /> U ASH <br /> IAL OTHER <br /> SCHEDUU10 AUS1.11119 MADE PRIOR TO S: .TH DAY PFlIORTO EXPECTED ARRIVAL•ANY UNSCHEDULED LOADS ARE SUPJECT <br /> TO REFUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> SALES COPY MANIFEST#225115 <br /> 22511Cs <br />