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-ROM :JIM THORPE O:L FA" i•40. :1 2-09 t"Sb 105 1. F1_,r. 19 2005 Q=,2PM P2 <br /> U h�>I8t trlly0tl (II Qx M in C Newby Island � ( Forward <br /> . Sanitary Landfill Sanitandflll Sanitary Landfill Landfill <br /> 901 Bailey Road 123'0 San Mateo Road <br /> �Pfttsb:I�j,CA 04585 Half Moon Say,CA 940191801 Dixon Landing Road 999&S.Austin Road <br /> Milpitas,CA 95035 Manteca,CA 95336 <br /> (926)458.8800 Ph011+.8(W)726.1819 Phone(408)946-2800 Phone(209)982-4298 <br /> Fax ^25j 458.0891 Fax 1,850)726.9183 Fax(408)282.287; Fax;209)982-1009 <br /> NON-HAZARDOUS WASTE MANIFEST <br /> ENERATOA <br /> VAST,ACCEPTANCE NO, <br /> MAILING ADORES <br /> CITY STATE,ZIP !1! L�Ro vr= <br /> PHCNE XGLOVES 0 GOGGLES O RESPIRATOR 'HARD HAT <br /> ACT PER$O 0 TY VEK O OTHER <br /> SPECIAL HANi)t,fNG PROCEDURES: <br /> I NATURE FAU HOftIZED AGENT l71TL8DATE N/ <br /> * � l�Jr/}-o5 <br /> S Rut tai naand OMPAI is Ad a huardow <br /> AMMabY�OCRI get a 9A of t!n Ca4bau aoaa a n9Jadmm.fus bean prcparry <br /> enarbp,d 111 No 0411 owdoN w he"D lWpo a�aoo>Ica6M <br /> .a�taYar,AW-Elm t■•ftowmtr+.Yw.A p..III raMk-i <br /> G b ro. aar erloc� t ,� �VIII NU DOW ��� � RECEIVING FACILI,Y <br /> 40&A PRA 281, <br /> ASTE TYPE: <br /> SPOSAL 0 SLUDGE <br /> U CONSTRUCTIO 4 a WOOD <br /> U DEBRIS 0:THER <br /> U SPECIAL WAST <br /> WO FACIUV <br /> ISA .tv:. ST o <br /> NOTES: VEHICLE LICENS2 KVMSG <br /> ADDRESS <br /> Z <br /> u- <br /> TATE,5071 <br /> j 9L4 9115� 1/0 <br /> NE '' A 41 END DUMP BOTTOM DUMP <br /> Ogg.f7 <br /> Ell <br /> PFALr NT OR DRIVER T ROLLOFF S) FLAT-BED VAN DRUIMS <br /> I hereby ce that the above named material has boon /5- GQ R,Q f <br /> scc*pted and t the best of my knowledge ther <br /> Olrrq DISPOSAL METHOD: (To BE-OMPLETED BY LANDFILL) <br /> Is true and accurate. <br /> DISPOSE I OTHER <br /> 0 SOIL <br /> Q CONSTRUCTION <br /> RACIUTY TICKET NU 169RIS <br /> O LABLE <br /> A6BE8Ti06 <br /> SIGNATURE OF 1ZED A DATE <br /> O WOOD <br /> 1 <br /> 0 ASH <br /> O SPECIAL OTHER <br /> VULMOAU"at MADE PRI0111170300 P.IIA.THS GAY MOR TO V-PIECM ARIRIVAL•ANY UNSCHEDULED LOAns Arte BUBMcT <br /> TO RTr.PLISAW UPON RIVAL. ONGOING DAILY DELIVERIES MUSTSCHRDULED WITH THB LANDFILL THE DAY IlHIzORE� <br /> RBEW <br /> MANIFEST d 1 7 7 A 1 9 <br /> D-7 <br />