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Li `^vmer t;anyon Li Ox Mountain Lj Newby Island L,,�[ t-orwarcl <br /> Sanitary Landfill Sanitary Landfill Sanitary Landfill Landfill <br /> 901 PIifley 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 /> Phone(925 )458-9800 Phone (650) 726-1819 Phone(408) 945-2800 Phone(209)982-4298 <br /> Fax(925)458-9891 w Fax(650)726-9183 Fax(408)262-2871 Fax(209)982-1009 <br /> NON-HAZARDOUS WASTE MANIFEST <br /> GENERA Oq _ { �, ,< WASTE ACCEPTANCE N0. <br /> MAILING gpDAESS <br /> CITY,STATE, ZIPS REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> PHONE d�-GLOVES U GOGGLES ❑RESPIRATOR ❑HARD HAT <br /> Q TY-VEK U OTHER <br /> CONTACT PERSON FT=om Z��Yu_/ ^-I S 26�_ ol'&7 -a3SPECIAL HANDLING PROCEDURES <br /> SIGNATURE OF AUTHORIZED AGENT/TITLE iDATE <br /> GENERATOR g CERTIFICATION I hereby certify that the above named material is not a hazardous <br /> waste as defined by 40 CFR Part 261 or bile 22 of the California code of reputations has been properly <br /> described classified and packaged and is in proper condition for transportation a-=rding to applicable <br /> regulations ANI],It the waste Is a treatment residue of s previously restricted hazardous waste <br /> subJ*d to the land Disposal Restrictions I certify and warrent that the waste has been treated In "�. <br /> axordanpa With the requirements of 40 CFR Part 266 and is no longer a hazardous waste as defined by RECEIVING FACILITY 1.LJ <br /> 40 CFR Part 261 <br /> WASTE TYPE <br /> Q DISPOSAL Q SLUDGE <br /> U CONSTRUCTION U WOOD <br /> Q DEBRIS Q OTHER <br /> Q SPECIAL WASTE v ; n, t L <br /> GENERATING FACILITY C�A %L 4 �Q � <br /> TRANSPORTER_ NOTES VEHICLE LICENSE NUMBER TRUCK NUMBER <br /> r , <br /> ADDRESS <br /> CITY,STATE,ZIP <br /> PHONE END DUMP BOTTOM DUMP TRANS ER <br /> ❑ ❑ <br /> SIGNATURE OF AUTHOR IZE9AC NT OR DRIVER DATE ROLL-OFFS FLAT-BED VAN DRUMS <br /> s <br /> t - , <br /> ca L1 L1 L1 <br /> CUBIC YARDS <br /> I hereby certify that the above named material has been <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 /> REMARKS O SOIL <br /> Q CONSTRUCTION <br /> FACILITY TICKET NUMBER DEBRIS <br /> ❑NON-FRIABLE <br /> r ASBESTOS <br /> SI NATURE OF AUTHQ IZED AGENT , DATE <br /> _ . 1 ❑WOOD <br /> ,Q ASHI <br /> U S LCIAL OTHER <br /> SCHEDULING MUST BE MADE PRIORTO 3 00 P M THE DAY PRIORTO EXPECTED ARRIVAL o ANY UNSCHEDULED LOADS ARE SUBJECT <br /> TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> MANIFEST 38113 <br /> GENLRATOR COPY - <br />