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u Keller canyon lI LJ ur rimountain r l l NeWdy Isiancl L1 Forwarcl , <br /> Sani#aty-L-andf fl - - 5anitOry LanWill Sanitary Landfill Landfill <br /> 901 Bi ley Road 12310 San Mateo Road 1601 Dixon Landing Road 9999 S Austin Road <br /> --fIfl3tlur ,CA 94565 Halt Moon Bay, CA 94019 Milpitas,CA 95035 Manteca, CA 95336 <br /> Phone(R%)%8-9800 t Phone(650)726-1819 Phone(408) 945-2800 Phone(209) 982-4298 <br /> Fax(925)459-,9891 Fax 50) 726-Q183 Fax(408)262-2871 Fax(209)982-1009 <br /> NON-HAZARDOUS WASTE MANIFEST <br /> GENERATOR WASTE ACCEPTANCE NO. <br /> MA- KESS \ X432 <br /> CI , I REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> L3 GLOVES ❑GOGGLES Ll RESPIRATOR ❑HARD HAT <br /> PH � I <br /> ❑TY-VEK O OTHER <br /> C N SPECIAL HANDLING PROCEDURES <br /> SIG ATE <br /> € � if <br /> GEN CE reby ni ' drs a named material Is I)ot a hazardous " <br /> waste as defined by 40 CFR Part or tide 22 of amla coded uiati hes been properly <br /> desodbod dasOW and p and is In p r�Fo <br /> (,or to tl inp to applicable <br /> A N qra waats Is trsatmant id of eted heurdous waste <br /> riu ctthe I�Diapoaai raestrctpne I <br /> SOL" ast+ este has been treated In RECEIVING FACILITY <br /> axwtlanoe with ra4uirements of 40 CF art 2 r a hazardous waste as defined by — <br /> 40 klrn Part 281 <br /> WASTE TYPE <br /> O DISPOSAL ❑SLUDGE <br /> 0 CONSTRUCTION ❑WOOD <br /> O DEBRIS ❑OTHER 4 <br /> O SPECPAL WASTE <br /> GENERATING FACILITY <br /> 7 ELEVEN#19978 1S9S NORTH MAIN STREET <br /> SPORTIER NOTES VEHICLE LICENSE NUMBER TRUCK NUMBER <br /> I <br /> AQ <br /> CI <br /> PH END DUMP BOTTOM DUMP TRANSFER <br /> SIGWWHFWtWAUTHORIZEDAGENT OR DRIVER DATE RO F S FLAT-BED VAN DRUMS <br /> 4 ❑ ❑ ❑ ❑ <br /> Ilk <br /> S <br /> CUBIC YARDS <br /> 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 /> EMARKS <br /> 0 CONSTRUCTION <br /> FACILITY TICKET NUMBER DEBRIS <br /> O NON-FRIABLE <br /> ASBESTOS <br /> SIGN RE ORIZE0413ENT DATE <br /> ❑WOOD <br /> O ASH <br /> `* SPECIAL OTHER <br /> S(H G MUST BE MADE PRI 5:00 RM.THE DAY PRIOR TO EXPKTED ARRIVAL a ANY UNSCHEDULED LOADS ARE SUBJECT <br /> TO REFUSAE UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> SALES COPY MANIFEST#225113 <br />