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1 Lj neller canyon U UX Mountain ❑ Newby island `K Forward <br /> Sanitary Landfill Sanitary Landfill Sanitary Landfill ndfill <br /> 901 Bailey 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 Fax(650) 726-9183 Fax(408)262-2871 Fax(209)982-1009 <br /> f <br /> NON-HAZARDOUS WASA MANIFEST <br /> GENERATOR <br /> WASTE ACCEPTANCE NO. <br /> MAILING ADDRESS <br /> CITY, STATE,ZIP REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> PHONE AI6LOVES &GOGGLES 0 RESPIRATOR 0 HARD HAT <br /> zi b 0 TY VEK 0 OTHER <br /> CONTACT PERSON <br /> -� SPECIAL HANDLING.PROCEDURES <br /> SIGN 7FFAUTHOFIIZED AGENT/ iTLE DATE <br /> � F <br /> GENE RTIFICATION I he the above named material a not a hazardoa <br /> waste as defined by 40 CFR Part 22 of the Caftnm code of regolaWa has been property <br /> deecribed Waasrfwd and PaCk#4jQdarKf rs in proper canthi ort for transportation a-cordng to eppNmblr <br /> reguon <br /> taba AND.It the w"%Is a traebrtent residue of a prevkuefy rpbtkted hmzwdmm wary <br /> srdpu to the Land Disposal Resowbons I ceraly and warrant that the waste has been treated in RECEIVING FACILITY <br /> errardance with the rerlwrements of 40 CFR Part 269 and u p no kv a hazardous waste as derived by <br /> 40 CFA Part 261 <br /> ASTE TYPE <br /> �YbISPOSAL 0 SLUDGE <br /> 0 CONSTRUCTION 0 WOOD <br /> O DEBRIS 0 OTHER <br /> 0 SPECIAL WASTE <br /> G —i <br /> RATING FACILITY <br /> �A,"--+ ( I ►-i <br /> TRANSPORTER NOTES VEHICLE LICENSE NUMBER <br /> DDRESS r <br /> ITY,STATE,ZIP <br /> y <br /> HONEEND DUMP BOTTOM DUMP TRANSFER <br /> n , - r <br /> IGN OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS FLAT-BED VAN D U <br /> '3 _ <br /> 1 <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 /> MARKS 0 SOIL <br /> 0 CONSTRUCTION <br /> CILITY TICKET NUMBER DEBRIS <br /> 0 NON-FRIABLE <br /> ASBESTOS <br /> LIREI OF AUTHORIZED AGENT DATE <br /> r D WOOD <br /> Y <br /> 13 ASH <br /> 4 <br /> r � <br /> t � -1 l !�� J <br /> 0 SPECIAL OTHER <br /> DULING MUST BE MADE PRIORTO 3 P M THE DAi PRIORTO EXPECTED ARRIVAL-ANY UNSCHEDULED LOADS ARE SUBJECT <br /> FUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> r-=,. - ,„ 11 '„ MANIFEST M P1 A A 'T n I <br />