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01/15'2001 1111N 10 20 FkX 209 468 1007 FORWARD INC 0004/011 <br /> p Keller Canyon p Ox Mountain ❑ ivwby Island .*Vorwarcl <br /> Sanitary Landfill Sanitary Landfill Sanitary Landfill Landfill <br /> ' 901 Sailay Road 123i 0 San Mateo Rood 1601 Dixon Landing Road 9M S Austin Road <br /> PMSburyp,CA 94565 Miall Moors Bay.CA 94019 MrtpUs, CA 95035 Manteca,CA 95336 <br /> . <br /> Phone(985)458.9800 Phone(650)726-1819 Phone(406)945.2800 Phone(209)98Z-4298 <br /> Fax(925)458-9891 Fax(650)726-9183 Fax(409)262-2871 Fax(209)992-1009 <br /> ' NON-HAZARDOUS WASTE MANIFEST <br /> GENERATOR WASTE ACCEPTANCE NO. <br /> MAILING ADDRESS 9 C74— <br /> CITY STA ,ZIPEGtUlREC3 PER TECTIV C]U PAAEN <br /> o �� � O GLOVES O GOGGLES 0 RESPIRATOR G HARD HAT <br /> PHONE <br /> O TY VEK 0 OTHER <br /> CONTACT PERSON <br /> „N SPECIAL HANDLING PROCEDURES <br /> SIGNATURE OF AUTHORIZED AGENT I TITLE DATE <br /> CANE C1RnW.Ar4k 11 it M*to 94$WN MMM M&MM b na P nar nMa <br /> ryAa ae dHno6 br 40 CFR Pwt N t or IN 12 of ft Gadomlo vada of nrpWW aa.hoe bwn popaor <br /> euarlbod,dr.lCwa and powtopad end Is In croy.r a ddm for bumponaimw cm b appt4we <br /> ��aa waem�bna��awry anc ww.. ��ki,•••r <br /> o�d�r+ea wHh�,.wqurroarnei m oo C><el►art lei ane r no lanper a nemdow�.m drpn.G 4y <br /> RECEIVING FACILITY <br /> 40 CFR Pare 1 61 <br /> WAST TYPE <br /> �BOSPOSoki_ O SLUDGE <br /> ❑CONSTRUCTION Q WOOD <br /> O DEBRIS D OTHER — <br /> ❑SPECIAL WASTE <br /> GENERATING FACILITY <br /> TRANSP0ffMR NOTES IVE)CCLELICENSENUMBIEN1 TRUCK NUMBER <br /> ADDRESS A, <br /> rCI AYE.ZIP <br /> NE END DUMP g5TTOM DUMB TRANSFER <br />' I URE O TH A4 E RO FF S FLAT-BED VAN DRUMS <br /> VAU <br /> CUBIC S <br />' I hereby certify that the above named material has been <br /> accepted and to the best of my knowledge the foregoing 0wgSAL MaTHOD• (TO BE COMPLETED 6Y LANuriLL) <br /> Is true and accurate. <br /> DISPOSE OTHER <br />' 13 SOIL <br /> EMARK$ <br /> O CONSTRUCTION <br /> FACILITY TICKET NUMBERlS <br /> 13 NON- <br /> ASBEST05 <br /> SIGNATURE imo X DATE <br /> Q11 WOOD <br />' 4PR <br /> q ASH <br /> O SPECIALOTHER <br /> SCHEDULING MUST 6E MADE PPAORTO 3,00 PM THS o EXPECTED ARRIVAL■ANY UNSCHEDULED LOADS ARE SUDMCT <br /> TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BLe SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> s�rlrel a ra-xav MANIFEST a 27324 <br /> I <br />