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❑ Keller Canyon ❑ Ox Mountain ❑ Newby Island Forward <br /> Sanitary Landfill Sanitary Landfill Sanitary Landfill `' 'Landfill <br /> r9{1 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 /> I}Wne(925) 458-9800 Phone(650)726-1819 Phone (408) 945-2800 Phone(209)982-4298 <br /> FaX(925),458-9891 Fax(650) 726-9183 Fax(408)262-2871 Fax(209)982-1009 <br /> NON-HAZARDOUS WASTE MANIFEST <br /> GENERATOR WASTE ACCEPTANCE NO. <br /> MAILI ADDRESS _ <br /> CITY, STATE, REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> RHONE t R GLOVES U GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> I ` ) U TY VEK ❑OTHER <br /> iCONTACT PERSON,` _ <br /> r c SPECIAL HANDLING PROCEDURES <br /> IGI*AILURE OF AUTHORIZED AGENT/TITLE DAT <br /> t <br /> -GENERATOR s,C RnFICA-noN I hereby caniy that the above named material is not a hazardous <br /> i <br /> ' waIrWas defined by 40 CFR Pad 21 nor title 22 of the Catifomia code of regulations has been properly <br /> ' described,classlfied d packaged and to In proper condition for transportation axording to applicable <br /> regulations AND,If fire wa#e is a treatment residue of a previously restricted hazardous waste <br /> autecl to the Land Disposal Restrictions I certify and warrant that the waste has been treated in RECEIVING FACILITY <br /> axordanae,wilh the regylramenta of 40 CFR Pad 2BB and is no longer a hazardous waste as defined byG3 ,11,�_i:•.,, <br /> #1 TE TYPE, <br /> E, `- <br /> " x ❑SLUDGE <br /> 13 CONSTIRVCTION " ❑WOOD <br /> QiDESI ,� „ €� ❑OTHER <br /> Q�sP RCIAL WASTE <br /> EhIERATING FACILITY <br /> IAif�SIPORT,OR ' ,'_ Ltxtsor NOTES VEHICLE LICENSE NUMBER TRUCK NUMBS <br /> �i <br /> v } S <br /> END DUMP B OM DUMP TRANSFER) <br /> ❑ ❑ <br /> ti A U Q I#THP 1ZEDAGENTORsDRIVER, x DATE ROLL-OFFS FLAT-BED VAN DRUMS <br /> r F <br /> y+c �� TM�fn-{ �,`,si5�,',�4,"KS��r��'"�i3��i'1�'�h�I� s 'y€ to ❑ ❑ ❑ ❑ <br /> -'• p` ��� ' , E" � ' <br /> at 4W ; `�" r''' r CUBIC YARDS <br /> 4t. <br /> I=h911'�JLi "fie i F tIt th abbvframad material has been <br /> a _L ld ' alt tr bestaifcmy�knoiNledge the foregoing DISPOSAL METHOD (TO BE COMPLETED BY LANDFILL) <br /> M4µT �1CI:ie�andfaccura#e. , <br /> DISPOSE OTHER <br /> ❑SOIL �. <br /> ❑CONSTRUCTION <br /> (r} imi ilk, " '' zs�` DEBRIS <br /> ❑NON-FRIABLE <br /> ASBESTOS <br /> ` A0ENT,,, DATE, <br /> U WOOD <br /> t Vry" 4 y a7rv� i^ r <br /> w s � t 'r .`a t> t ' r M1 ❑ASH <br /> C t 4 ro hzr��r <br /> 'J, <br /> OTHER <br /> MMEMW <br />' WrwmUBT si M'ADE PRIORTO 3:00 RM THE DAY PRIORTO EXPECT ARRIVAL a ANY UNSCHEDULED LOADS ARE SUBJECT <br /> -,RNFU$AL,'UPC N,;ARRIVAek-ONGOING DAILY DELIVERIES MUST BE/SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br />€ it _ t 4 z , 11MANIFEST#151 <br /> TIRANBPOWER COPY 86 <br />