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May', F,. 7:111 I'): 7'PN <br /> E munul rrmlyQu ❑#110 <br /> ountain ❑ Newby Island yOFOn:J <br /> Sanitary Landfill itary Landfill Sanitary L&M11 \Iandfill <br /> 901 Salley Road San Mateo Road 1601 Dixon Lan sad 9998 S.Austin Road <br /> Pllteburo,CA 94555 Hall Moon Bay,CA$4019_..p Milpitas,CA 95035 Manteca,CA 95336 <br /> Phone(925)458.9800 Phone(650)728.1810 Phone(406)945.2600 Phone(208)962-4298 <br /> Fax(925)458.9891 Fax(850)726-9183 Fax(406)262-2871 Fax(209)982.1009 <br /> NON-HAZARDOUS WASTE MANIFEST <br /> ENERA7 R WASTE ACCEPTANCE N0. <br /> I r1 <br /> MAILINGADD SS m �l <br /> 0 <br /> i7Y, T tE'ZI ' NAL PR 7EC7IVE EQUIP ENT <br /> — 0 GLOVES 0 GOGGLES O RESPIRATOR 0 HARD HAT <br /> PHO <br /> 0TY•VEK OOTHER <br /> CQNT C7 ER ON SPECIAL HANDLING PROCEDURES: <br /> LL t <br /> SIGNpTUR OF AUTHORIZED GENTITITLE DATE. <br /> GENE a'8 GER IFl T10N: hdeeqq w�,dot Ue ebwe mnwd miartei w ml a hazaNws <br /> waeu aelrred sy C Pan 1aul1ez2 aluw CsfiWNa wdedregwdw,npo hefin PlgbM <br /> 09a YOatt dBWIABd pYdigatl.Wlawproper mnddm lar Vmpvl UWl ,slNl =o @0014* <br /> f dabone:AND,I!the waste tae lreatateatfesidue of a Waylovely raen701ad aaee V,wait@ <br /> aubla6l to ew land I tatrly find warrmd Nal uw waste Me seen vealedn RECEIVING FACILITY <br /> ammilamewM Nw mf,snenls dde CFR Pan 48 find It m longer a hawaau6 w6ats"delhwd by <br /> 10 CFP PM 961. <br /> WASTE TYPE: <br /> �Si1ISPOSAL DSLUDGE — <br /> 0CONSTRUCTION O WOOD — <br /> 0 DEBRIS 0OTHER <br /> 0 SPECIAL WASTET----- <br /> GENERATING FACILITY — — <br /> TRANSPORTER NOTES: I VEHICLE LICENSE NUMBER TRUCK NUMBER <br /> ADDRESS <br /> I <br /> CITY,STATE,ZIP (; V <br /> PHONE uck 11 0 rilr END DUMP 80TTOM DUMP TRANSFER <br /> SIG TU A HORIZEDAGENT OR DRIVER DATE ROLL OFFS) FLAT-BED VAN DR MS <br /> e O ❑ ❑ ❑ <br /> 4-�' <br /> V CUB[ YARDS <br /> I hereby certify that the above named material has been 3 <br /> accepted and to the best of my knowledge the foregoing DISPOSAL METHOD: (TO BE COMPLETED BY LANDFILL) <br /> is true and accurate. <br /> DISPOSE OTHER <br /> 0$OIL <br /> EMARKS <br /> 0 CONSTRUCTION <br /> FACILITY TICKET NUMBER O DEBRIS <br /> NON-FRIABLE <br /> AS <br /> SIGNA7UR OOFAUTHORIZEDABESTOS <br /> `GENT DATE WOOD <br /> BES <br /> 1 t G <br /> 1?) 11 0 ASH <br /> 11r �` I OSPECIAL OTHER <br /> Men! GMUST� MADEPRIORTO3:011P.M.THEDAYPRIORTOEXP90TEDARRIVAL•ANYUNSCHEDULEDLOAD$ARESUBJECT <br /> Men! <br /> TO REFUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE, <br /> AF4PPA MArnPV MANIFESTu Q <br />