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sanitary Landfill landfill, <br /> 901 Baits Road San+talky landfill Sanitary landfill Landfin <br /> Bailey 28972 y� Butte Road 12310 San Mateo Road 01 Dixon Landing Road 9995 S. Austria road' <br /> Pittsburg, CA 94585 Corvalli R 97330 Half M00%13ay, CA 94019 flpitas, CA 95035 Manteca CA ti93 <br /> Phone (925) 458-9800 Phone (541) 745-2018 Phone (650) 726-1819: Phone (408) 945-2800 (7!8) <br /> Fax(925)458-9891 Fax(541) 745-3826 Fax (650)726 9183 tax(408)262-2871 P1701le 982-4298 <br /> Fax (409) <br /> NON-HAZARDOUS.WASTE MANIFEST <br /> GENE»ATOR <br /> lsels S.tgt WASTE ACCEPTANCE NO.-� <br /> MAILING ADDRESS <br /> 2009 SmAh <br /> CITY, STATE, ZIP REQUIRED PERSONAL PROTECTIVE l'T <br /> PHONE !GLOVES ❑ GOGGLES ❑ RESPIRATOR X]Fl=;R0 HAI' <br /> CONTACT PERSON C2 TY VEK -SAFETY VEST <br /> ria ie P SPECIAL HANDLING PROCEDURES: <br /> SIGNATURE OF AUTHORIZED AGENT/TITLEq pgTE <br /> u d <br /> GENERATOR'S CERTIFICATION:I hereby certify that the above named material Is not a hazaioo'us <br /> waste as defined by 49 CFR Part 261 or title 22 of the California code of regulations,has been properly <br /> described,classified and packaged,and is in proper condition for transportation according to applicable - <br /> regulations:AND,If the waste Is a treatment residue of a previously restricted hazardous waste . <br /> subject to the Land Disposal Restrictions,I certify and warrant that the waste has been treated in — W_ <br /> accordance with the requirements of 40 CFR Part 26B and is no longer a hazardous waste as defined by RECEIVING FACILITY <br /> 40 GFR Part 261. _ ) _ — . <br /> WASTE TYPE: _ <br /> .• <br /> P DISPOSAL ❑SLUDGE A"4 <br /> ""0 CON§tkud i'ION ❑WOOD -- <br /> ©.9.66 tIS ❑OTHER <br /> ?1-SPECIAL.-WASTE <br /> GENERATING FACILITY <br /> 2ow-soliv..Tdolpy Drip' pin I <br /> .r <br /> TRANSPORTER . . ° 4s <br /> ADDRESS <br /> NOTES: 7. � /e': <br /> ICLE LICENSE NUMBER TRUCK Iqui�IBER <br /> 7 s <br /> , <br /> CITY, STATE, <br /> ZIP <br /> 1Altf,6l.+k A 95241 - <br /> PHONE END DUMP BOTTOM DUMP TRANSFER F <br /> �(K <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS FLAT-BED VAN DRUMS— <br /> Li RUMS <br /> ❑ p <br /> CUBIC YARDS <br /> I hereby certify that the above named material hbS been — f <br /> accepted and to the best of my knowledge titb,foroirlg —_______ <br /> is true and accurate. DISC SAL METHOD: (TO BE COMPLETED BY LANDf lLL) <br /> • r` <br /> DISPOSE O T I;Eli <br /> -------- <br /> REMARKS z <br /> ❑ CQNSTRUCTION <br /> FACIUTYTlEC.ET NUMBER DEBRIS <br /> ❑ NO -FRIABLE <br /> ASB STOS <br /> SIGNATURE`CSF AUTHORIZED AGENT -DATE - _ -— <br /> g s WO l3 <br /> AS <br /> p ya ', 1'I� f t r• ✓' I <br /> Ll SOECIAL OTHER <br /> . <br /> s '. _ <br /> HE qL � <br /> P!C MUST BE MADE PR� <br /> OR TO <br /> .,... 3.00 P.M.THE DAY PRIpR'Tb EXPECTED ARRIVAL-ANY UNSCHEDULED LOADS ARE SUBJECT <br /> 4 0 IFIE USe#L OPON ARRJ{-Ake ONGOING IDAILY DELIV IIj MUST BE SOHEQULED bMI1TH THE LANDFILL THE DAY BEFORE. <br /> 1 d( Y <br /> �Ra3�7�lis NS024' GIwNERATORCOPY MANIFEST# <br /> i f <br />