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Mar, l l 20U8 3;16FM FUHWAkU lVCIIcr Canyon 1 Coffin nutte i I Ox Muunlain I I Newby Island [No, 91191rd P, 4 �IT� <br /> Hanitary Landfill Landfill Sanitary Landfill Sanitary Landfill Landfill <br /> Hrll Hnslay rT0a7 29972 Gatlin BUtla Road s asrl UHn Mao Road 1601 Dirurr L�tnding Road 9999 E.Austin Hnnd <br /> • PIttSUur%CA 94587 Cmallle,OR G/8?A1 Niall Moan Bay,CA 9401 D Milplkm,CA 050134 Manlaca,GA 95330 <br /> Ph—u(025)450 9000 1'hor,a(rr41)745.7019 Phpno(950)726-1619 Ph—(4]01 045.26DO Phoni(709)982-4299 <br /> Pax(M!h)4h,WJR21 Fax(641)745-3820 Fux(680)726-9183 pax(466)262.2871 Fax(209)982 1rme <br /> NON-HAZARDOUS WASTE MANIFEST <br /> 2ENERATOR - WASTE ACCEPTANCE NO. <br /> MAILIN DRESS � � <br /> 400 isuD the — <br /> C ATE,ZIP E Ulfi IVE E <br /> ru+ <br /> PHONHONE 20LOVES O GOGGLES D RESPIRATOR M HARD HAT <br /> O TY-VEK X23APE I Y VEST <br /> ON ACTPERSON . — <br /> SPE IAL HANDLING PROUEDURE9: <br /> SIGNATUR17-OF ALI FLAORIZEDAGEN TITLE DATE <br /> * r 211 09 <br /> OCNCAAT1Nrg 1ERTIFICA'TION:I n- Ihat M0 above Rm*c rnsww ie nota h—do. <br /> wanb as aalin.a ey•o ern r.e am n,n of Ile C.IIb•rd.wog al rputallam,htlo oven NOa�M <br /> 1.w.vllrwl,cI...Mlatl antl Wak.7Otl,Ord le In aNMr iaMlllOn 1011fOIMlilrtt,liuii..:,n11.o In wrpllaa:N <br /> 'etiallam: NIX Ii M�w..d 1..r..rrl�nl rwltl0a bl.PrauglylV t'anrRlaa haaaraaua wa.b <br /> su laartbAbLMOV1160abtnnakthne.IrauNyr..J.�r.rtln,nh.Netahea—tomoan RECEIVING FA I <br /> uaarnr...a th. an,: <br /> n,of au 4.M-AA 2H and Id no lepbr A IIA-rd........dA W Uy L`LITY <br /> 400rR Pnl t8l. <br /> WASTE TYPE: <br /> DISPQ;3iu O SLUDGE ... <br /> D CON@i RUCTION 0 WOOD <br /> o DEBRIS 0 OTHER <br /> R SPECIAL WASTE <br /> GENERATING FACILITY, <br /> 3"Q ii&A X6nw Avenue t7POC'tSTC?N _.C — <br /> TRAN$PORTER NOTES; VEHILE ucENgL <br /> NUM@ER Tp K NUMBER <br /> - _ G <br /> END DUMP I30TTOlu1 TRANSFER <br /> )THORIZE E�DDRJ�\�ERDR <br /> _ ROLLOFF g FLAT-159 VAN DRUMS <br /> U ❑ ❑ <br /> C=YARDS <br /> _ <br /> I hereby certify that the above named Material has been <br /> aeeept■d and to the beat of my knowledge the foregoing <br /> Is true and aoourate. DIBF OBAL MET11pL7: (TO BE COMPLETED eY LANDFILL) <br /> DISPOSE OTHER <br /> FIEMARK9 01941E <br /> — u 1,10NSTRUOTION <br /> FACILITY TICKIT NNIVAPR D b <br /> -- ❑NON-FRIABLE <br /> ASBESTOS <br /> 81 R ALb ED q EN DATE - <br /> 0 WsDD <br /> U AUH <br /> - _ 0 SPECIAL OTHER <br /> SCH115IZU00 MUST ISE MADE PRIORTOMM P,M.THE DAY PRIORTO EXPECTED AMINAL•ANY UNWHEBULED LOWS ARE BUBJGCT <br /> TO RIEFUBAL UPON ARRIVAL_ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY ■[FORE. <br /> LANDFILL CUIq MANIFEST N 637941 <br />