Laserfiche WebLink
06/06/2011 14:39 1-209-31851 JII•I THORFE OIL <br /> PAGE 03/03 <br /> MAP'/:'PRIM 1'(I -. i...:. YI L'nnn fi11N9D1 Bails Road 12310 San Mateo <br /> c Ms. <br /> Road 1601 Dixon Landing Road 9999 S.Austin Road <br /> Pittsburg,CA 94565 Half Moon Bay,CA 94DI9 Milpitas,CA 95035 Manteca,CA 95336 <br /> Phone(925)458.9800 Phone(650)726.1 B79 Phone(408)945-2800 Phone(2091)'982.429a <br /> Fax(925)45$-9891 Fax(650)7265183 Fax(408)262.2871 Fax(209)9$2.1009 <br /> NON-HAZARDOUS WASTE MANIFEST <br /> GE <br /> WASTE ACCEPTANCE NO. <br /> g CITY,STAG 6, q o <br /> REGTUfREDFEI SO. AL PROTECTIVE E MENT <br /> "GLOVES 'A'GOEiGI>:E6 . I:H',RESPIRATORRD HAT <br /> AA <br /> 7Y-`5K O OT-HER <br /> CONT.GT�EfiSq '. . . <br /> ' : .. •' 'SPECIAL HANDLING.PR(�CEDIJ'RES: <br /> IGNAiC15 :CfF:' 'UTIGIRIZED'.AGENT/TITLEp D!4TE ... .... . L7N�' <br /> eisia 0 d6flAk.t:tItlFXh.08N:16erYliy. ' Ilylhel lhd eheve ne'mnrj mYleryel;a ndianexgldouq <br /> weds 69 tlwMgd:pyAb:CFR f!aA'2Al pr'Ilda 22 Of Ale Ca1MOmie lade el, 1161foti,erf rydY been'propOr <br /> Wd6rdbetl,'olele7And•eh&peckepad; lain propermndfliMlorlydi., itlprlebardlrrgto'appllpay6 <br /> 160 ANPi,:1}71,6 WeYlw Ye'tr.etn,Ym TYYidYd Ofel, lousig. 7dlYd hYmdw6WYYta t� <br /> Cwfaef:Whil LwIdblap6m,ReArldtipne,.IomtI abd Watter4IOdUhe WABW'h'Yd 11dAA Ire9idtl In 1\- <br /> aOaddeN*withtM regebementpor4aCFRPAtt2S9armI."lengar.'ArlYezeiddye'wnsrpaaeeflnetlby F)ECEI'V'IN.G,F/SCILITY <br /> 40 C6H':Pia 291.: . <br /> . DISPOSAL <br /> ❑.CONSTRUCTION. q WOCD <br /> ❑DEBRIS ❑OTHER' <br /> ❑SPECIAL:WASTE <br /> 'GENERATINGFACFLI71/ - . <br /> THLSPORT <br /> S7G$St hVull' LEis1GEpSE.NU116ER TRUCK NUMBER. <br /> AD RES <br /> CITY STATE,ZIP" <br /> PHONE' G. O DUAAP BOT?Of4l.pUMP <br /> T{ SEE�I . <br /> SIGNATUREOFAUTHORIZEDAGENTOR'.DRIVER .'DATE : 'R[7 �G7FFS <br /> FLATBED 1(PN DRUJNS" <br /> CUBIC YARDS <br /> 1 hereby certlfytklatthe:slidve named ntaterlafha'a been 'dS <br /> eccepted and to the best of hiy knowledge the foregoing <br /> Is true and a6CUrme: DISPOSAI:;MET Ob: IpLETED BY LAiJpEl64j• . .:. <br /> DISPOSE <br /> MARKS <br /> . q,'. .Y1,YslTAl'1CTION <br /> FACILITY TICKET NUMBER o€KRIS. <br /> O NON.'pR1ABLE <br /> $IGNATUREOFAUTH IZEDAGENT GATE ASOE8 S <br /> 1 <br /> - \ r ❑woo <br /> %Q ASH <br /> " "Cl SPECIAL OTHER <br /> SCHEDULING MUST BE'M EPR10 p fro 3:oIII TRED—Ay PRIORTO'EXPECTEDARRIVALYANYIJNSC <br /> 170 REFUSAL UPON AR IVAL., GOMG DAILY DELIVERIES MUST BE SCHEDULED WITH THE HEDUIcDLOADSARt?5DBJE T <br /> ''LANDFILL THE DAY BEFORE. <br /> GENERATOR CONY MANIFEST N. C, 7 <br />