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- .n D� �ux mountain Cl Newb <br /> ;`5aMLl: 5. 200?9 8,45Will1l ' Of J INC Y_I4�' Gid IV o. ';6D2FOr`, 69 <br /> Sanitary Landfill Sanitar ti4dflll Landfill I <br /> 901 Salley Rodd 28972 CoMn Butte Road 12310 Sdn Mateo Road 1501 Dixon Lending Road 9989 8,Austin Road <br /> Rlsdur9,CA 94868 CON911is,OR 97330 Half Moon Bay,CA 94019 - Mtlphas,CA 86038 M1111190,CA 98335 <br /> Phone(925)468.9900 Phone(641)745-2015 Phone(95D)728.1019 Phone(405)945.2800 Phone(209)982.4298 <br /> Fax(925)468-9891 Fax(541)7a6.3626 - Fax(650)728.9183 Fax(406)292.2871 Fax(209)983.1000 <br /> NON 4AZARDOUS WASTE, MANIFEST fl <br /> QE RAT R WASTE ACCEPTANCE NO. <br /> M ILINGADD ESS <br /> �_ u - •a ,..1. +'' — - # 1211 <br /> CII Y,8TATE ZIP <br /> 1 not , Id WE—MAEE E <br /> PHONE D GLOVES a GOGGLES 0 RESPIRATOR 0 HARD HAT <br /> `" + <br /> CTAPERSON UTY•VEK QSAFETY VEST <br /> CT <br /> e OF SPECIAL HANDLING PROCEDURES: <br /> SIGNA EOAUTHORIZEOAQENT/TITLE DATE <br /> tat+8,uroxeceangCAnoNi�hmnYYwnlN lN�mo 11brm rumwmxnru�anmanu.rdew <br /> »Ymonad 40 GPn ha8g+aplhmapa�a1OR GlIbrMa cod.ol fpukironl,on boon prop" <br /> enpNpowWlllb�.4r lw.e tlk iR wo,/nal 11 me=an prr iimnimnlllkblFrp iAipbmo <br /> r w6Mmmuw(.na oypcaal Qa.RIofb"I conn and*1m 11,111 no wall nae baan+nalod In <br /> 44011M anAll,mr.gwnmmum 4aGOB Pan MAmanolonpn. m�deww.w,a owil"aey RECEIVING FAciuTY <br /> I 4a�n an ee+. <br /> WA TE7YPE; j <br /> O DISPOSAL O SLUDGE - <br /> ❑CONSTRUCTION O WOOD <br /> 0 DEBRIS U OTHER <br /> 0 9PEOIAL WASTE <br /> GENERATING FACILITY <br /> 'I't13i3$S. IiBfl;an4nla+znS.,l 'r:,alvon i..A-1ti"fill <br /> TRANSPORT" NOT ; VEHICLE ENBENUMBER U UMB <br /> ill Nn PV I'I 7r UI't-.I "i! .._ <br /> s E,2115 <br /> �>PCI'Art1p11Cn'. : FI!iy'i�;.i_ <br /> NFNDDUMP BOTTOM DUMP TRANSFER <br /> S)1 Pi 3 1-B$HA <br /> I TU F ED ENT R DRI R DA OFFL8) FLAT BED VAN DRLIM5 <br /> BI ARD <br /> I hereby csrtlfythat the above named material has been 1,8 Cy <br /> accepted and to the beat of my knowiadga the foregoing <br /> Is true and accurate. DISPOSALMETHOD: RO BE COMPLETED BY LANOFIUa <br /> DISPOSE OTHER <br /> EMARKe o MOIL <br /> O)QQNBTRUCTION <br /> AGILITY TICKET NUMBER DEBRIS <br /> - D NON•PRIABLE <br /> 81 NA R DFAUTHORIZEDAGENT 11DATE ASBESTOS <br /> U WOOD <br /> D ASH <br /> O SPECIAL OTHER <br /> SCHEDUWNGmu$Tm M-01!PRIORTO 3:00 Rill DAY pftoFITO EXPECTED ARRIVAL-ANY UNDCHEDULED LOADIII ARE SUbjWr <br /> TO REFUSAL UPON AIMIVAL. ONODINQ DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> LANDMLLOOPY MANIFESTM ;570382 <br /> 57P1'] A+7 <br />