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LI Keller Canyon LJ Ox Mountain _ Newby Island ❑ Forward <br /> Sanitary Landfill, Sanitary Lang#ill Sanitary Landfill Landfill <br /> 901 Barley R¢ad 12310 San Mateo Road 1601. Dixon Landing Road 9999 S Aust <br /> Pittsbur*,CA 94565 Halt Moon Bay, CA 94019 M`fi>Itas, CA 95035 Manteca,C,A'95 <br /> Phone(925)454-9F800 Ph9ne (650)726-1819 Phone(408)945-2800 Phone(209) 982 98 <br /> Fax(925)458-9891 Fax(650)726-9183 Fax (408)262-2871 Fax(209)982-109 <br /> . NON-HAZARDOUS WASTE MANIFEST <br /> GENERATOR WASTE ACCEPTANCE NO. <br /> MAI RESS --9431 <br /> CITY,STATE,lip REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> PH <br /> ❑GLOVES ❑GOGGLES U RESPIRATOR O HARD HAT <br /> - <br /> U TY-VEK ❑OTHER <br /> fi� N SPECIAL HANDLING PROCEDURES <br /> SI DATE <br /> 4 <br /> d <br /> I <br /> GEN S E G N r ce that the a nanNO` <br /> a hazardous <br /> waste as defined by 40 GFR Part 26 fide 22 of the fo a an <br /> properly <br /> described classified and packaged I-0s In proper di a rdirg to applicable <br /> �ns,At�0.II the wade is a trostnunt regi of od hazardous waste <br /> to the i 4rrd Disposal Restrietlons I oerfity war tfre the waste has been treated In RECEIVING FACILITY <br /> aomrdar"with the requirements of 40 CFR Part 260 and is no longer a hazardous waste as defined by <br /> 40 CFR Part 261 x <br /> WASTE TYPE - E <br /> ❑DISPOSAL U SLUDGE <br /> 0 CONSTRUCTION ❑WOOD <br /> 0 DEBRIS U OTHER <br /> 0 SPECIAL WASTE <br /> GENERATING FACILITY <br /> 7 ELEVEN#19978 1399 NORTH MAIN BEET <br /> SPORTER NOTES VEHICLE LICENSE NUMBER TRUCK NUMBER <br /> AD <br /> CI <br /> PH GA END DUMP BOTTOM DUMP TRANSFER <br /> SI UTHORIZED AGENT OR DRIVER DATE ROLL OFFS FLAT-BED VAN DRUMS <br /> ❑ ❑ <br /> w CUBIC YARDS <br /> I hereby certify that the above named material has been t 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 /> - ❑CONSTRUCTION <br /> 4 FACILITY TICKET NUMBER DEBRIS <br /> O NON FRIABLE <br /> ASBESTOS <br /> SIGNAT7RERIZEDAGEOTDATE <br /> ❑WOOD <br /> U ASH <br /> SPECIAL nTWEA <br /> SCHEDULING MUST BEWADE ftMTO 3:00 .M.THE DAY PR RTO EXPECTED ARRIVAL a ANY UNSCHEDULED LOADS ARE SUBJECT <br /> TO REFUSAL RRIVAL. ONGOING AILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL E AY BEFORE. <br /> SALES COPY MANIFEST#225114 <br />