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Mar, 11. 2006 3:15PM FORWARD 1NCIler Canyon 1 1 roffin 1111Jtte >-1 Ox Mountain l 1 Newby Island INa, 9129ird K 2 <br /> .unitary Landflll Landfill Sanitary Landfill Sanitary Landfill Landfill <br /> S01 Gemy Had 29972 CVrnn Butte Road 12'i1U finn Mntnp ftoly 1001 Dixon Laldinu Road 0000 S.Austin Rued <br /> Pirsnl,uU CIA 99595 Corvallis,OR 97330 Halt Moon Sey,CA 94019 Mllpllas,CA 950M Manteca,CA 9a:a; <br /> Phone(920)450-8800 Phone(541)t4-1+01H Phone(8501726-10 10 Phano(40k)114h:will) Phone(209)902.4208 <br /> FHK(925)46S41SUt Few(541)7453920 Fm(940)7,4'0163 r-&X(Mlli)V051-Pt171 Frx(200)902-1D09 <br /> NON-HAZARDOUS WASTE MANIFEST <br /> GIENERATORWASTE ACCEPTANCE NO. <br /> MAILING ❑DRE$ <br /> Drive _ <br /> 7495 <br /> CITY1 STATE,r PERSONAL <br /> ryA 921437 <br /> NE — 'ULUVE3 Q(3000LES ❑RESPIRATOR )D HARD HAT <br /> ❑7Y•VEK XSAFETY VEST <br /> A PERSON <br /> `— - - SPECIAL HANDLING PROCEDURES: <br /> NAT RE OF AU ZED AQENT 1 TITLE DATE <br /> H6NEAAT0R a GEnll1i AMNJ l6•mryy w t ­a maardm a nm a eeeoraou <br /> .W••onln•a try aQ CFR Fdrt:wr er uet cc or rn.n•lrnmi•r,ad•M rryul•iY.r,1—ben p.oyedy <br /> d•rdhen alaNflM•nJ yriwpp J,•rp U A yroacr oundlden roe rrahtAartetlone'.00rding bo eW&Abl• <br /> M . ANIL 11Ih6IN12%Y a 4aedn•hb r�ldw ot.pmubusry­11.0d MmnaW Wale <br /> u b>h•Lend WaPotW Rm IixIM,,mtry and Mmrml tial lh•..u.lr•Ir.r,tr,•,a.n in <br /> aGGwdallLe wild m•,ayi.mrn••f aO G'n Pall Oda and in roieedar i huaraoo wame m dal—d by RECEIVING m oiwTY <br /> W GFH on Wl, — <br /> A TE TYPE- <br /> f1 DISPOSAL 0 SLUDGE <br /> 13 CONSTRUCTION ❑WOOD <br /> J DCDRIS a UTHCR <br /> ❑SPECIAL WASTE — <br /> GENERATINQ FACILITY <br /> 3370 EM DOUW At a tx 4 �]t TON <br /> TRANSPORTER NOTES: VEHICLE LIUNNSE NUMBER TRUCKNUMBER <br /> ADDREPliq Rd <br /> I , <br /> f .E END DUMP BOTTOM DUMP <br /> 81 I FR AGENT OH DRIVER r ROLL-OFFS FLAT-BED VAN DRUMQ <br /> 4 ❑ Li ❑ <br /> * F <br /> CUDICYARDS <br /> I hereby certify that the above named material h■;Osen <br /> accepted and to the beet of tiny Imowledge the foregoing <br /> Is true and accurate. 0I61508AL MtZF1D0: (1'0 HE COMPLETED FY LANDFILL) <br /> DISPOSE OTMFR <br /> REMARKS 0 SOIL <br /> U CUNtiTRUCTION <br /> [FA I<_ TI ETN D�6RIt]NONFRIAetE <br /> ASBESTOSINq REO ALIT A� DATE —' <br /> " 1 o ween <br /> ❑ASH <br /> Q SPECIAL arMER <br /> sGM VU NST BE MADE PRIORTO 3=RMrTHIi DAY PRIORTO EXPEND ARRIVAL PANT UNWHEDULED LOADS ARE BUISJEC T <br /> TORPkPJAL UPON ARRIVAL.ONGOING DAILY DELIVERIES MUST BE SOH0ULaD WITH THE LANDFILL THE DAY BEFORE. <br /> LANDFILL COPY MANiFC8T N 637938 <br />