Laserfiche WebLink
�gRiYar. 86__2„1109 8:44AVdfill FOR INCJ4x Mountain .r,. []Newby le-nei P;s, 1602Folp. 31 <br /> p <br /> Sanitary Landfill Sanitary'virldflll Landfill <br /> 901 9a ft Road 28872 Coffin Butte Road 12310 San Malec,Road 1301 Dixon Landing Road 8999 S.Austin Road <br /> Pittsburg,CA 96565 Corvallis.OR 97330 Half Moan Bay,CA D4019 Milpitas,CA 95036 Manteca,CA 96330 <br /> Phono(925)468,9800 Phone(541)745.2016 phone(650)726-1819 Phone(408)W-280a Phone(5;09)9112.4799 <br /> Fax(925)450.9891 Fax(541)7483828 Fax(650)726.9183 Fax(408)282.2871 Fax(209)882.1009 ! <br /> NON-HAZARDOUS WASTE MANIFEST It <br /> T-11, WASTE ACCEPTANCE NO. <br /> MAILINGA RE 4 <br /> 72 1 <br /> CITY STATE ZIP <br /> !.Nlillrop, ,.I k,uu . R E IRME <br /> PHONE - QGLOVES 0 QOGGLES O RESPIRATOR Cl HARD HAT <br /> CONTAC P SON 0TY-VCK OSAFETYVEST <br /> SPE IAL HANDL 5 P OCEDURES: <br /> SIGNATURE OFAUTHORILEDAGENT/TITLE DATE <br /> tlanaaNTORO Ca1R'Ip1CATipp;I herr 0WIy dill due abwo nedap m %,W a npte hnerdoea <br /> Wn4 a d.drnd ax AO CPPI Pan Qat eb72 el Ine Glltmnla cads of mgmixnla,hen bash repadY <br /> IOpnoNbMA daBIIWn aha W req antl le In propercardldon Iv nxnepaadm e'ootdlr�p W agxlaHa <br /> wq�etxk IM14"Ofi akNlmmtwn4rrlaeprwleutlP now Me�Wew qts <br /> MM"Mf With the le�exnl e�ina ac,c,.gni11 end usnehioriper n�h�y�ubaNw res liwe:nn„d ny 4EC61YING FACILITY <br /> a0 CFlI PIIRQat. <br /> WAST TYPE: - ' <br /> W DISPOSAL D SLUDGE <br /> O CONSTRUCTION 0 WOOD <br /> 0 DEBRIS O OTHER <br /> 0 SPECIAL WASTE <br /> QENERAT NG FACIL17Y <br /> '1551 p 51 IarlHrl 11I:j1 ,I 1:.I <br /> allI <br /> TRANSPORTER <br /> � N VEHICLE UCEN8E NUM R <br /> n11 ;inn=V IIIc C <br /> AD ES <br /> C END UMP BOTTOM DUMP <br /> tai� I'I• ,I RANSFER <br /> S E AU RI AQ NT DR ER ATEROLL-OFFS FLAT-BED VAN DRUMS <br /> 7-9._7 <br /> CV9IG'VARL)4 <br /> I hereby certify that the above named material hee been <br /> aaeepted and to the best of my knowledgethe foregoing <br /> Is true and efxurata- <br /> DISPOSAL METHOD; (TO BE COMPLETED BY LANDFILL) <br /> DISPOSE OTHER <br /> MARKS Q BOIL <br /> O CONBTpucnoN <br /> FACILITY TICKET NUMBER DEBRIS <br /> 4 NON-FRIAa4a " <br /> SIG ATUREOFAUTH RIZEDAGENTDATE ASBEST06 <br /> - 0 WOOD <br /> 0 ASH <br /> v 08PECIALOTHER <br /> SCHEDULING MUBT EPRICRTDB:OOP.M.THEDAY pR10RTOD(PECTEDARRIVAL*ANY UNSCHEDULEall DLpADSARESUBJECT <br /> TO REFUSAL UPON IVAL. ONUOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE, <br /> LANDFILL COPY MAN)FPTR ,570379 <br />