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10/29/2004 11 45 9163811573 MANLEY AND SONS PAGE 01 <br />' L.j VA�weMY��K1�Pt•a a` LJ RMIMMUY' aanaff Y L.j %-%/a 00=1U , <br /> Cyt Swri tary L.atxdt111 Sanitary Landfill Landfill <br /> _ • 19310 San Mateo Road 1601 Dbcon Lancing Road 9999 S Austm Ro1ad <br /> A`B45'65 ` Half Moon Bay,„CA 94,019 l Milpitas,CA 95x35 Ma*ea.CA dWW <br /> 45"80() r Phone(650)726-1919 Phone(408)945-2800 Ph6.(209) 9*2-42.1 <br />' 45&9891:” ' Fax(65D)726-9163 Fax(406)252.28Tt Fax(209)962-1009 <br /> NON-HAZARDOUS WASTE MANIFEST <br /> GENERATOR WASTE ACCEPTANCE 90. j <br /> SAILING ADDR _ <br /> I <br /> 47 <br /> CITY,STATE,ZIP R ER NAL PR CTIVE EQUIPMENT <br /> O LCA S ❑GOGGLES U RESPIRATOR ❑KAIiD HAT <br /> -PHONE OLD <br /> ❑TY-VEK ❑OTHER <br /> CONTACT PERSON SPECIAL HANDLING PROCEDURES <br /> ffi <br /> SIGNATF <br /> AUTHORIZED AGENT/TITLE DA <br /> * 4V� <br /> I <br /> GEN<'FatAP1CAMON 11�e�r� nartred molal N ml a h® rOmw <br /> wast6 691! CFR PW 2Bt or dt1a D}OW CAIIrw ciwO D!f9–N–M-E.ho Chan brow* <br /> dalfp�IbOE, ra p6aiwpae,MCG fie OD1fQ111gf11GT harmpdtmlal t'Ybr�flQ tD b14 <br /> rov4so— warty is• r�fdw of a pewrioualy ndrlmrd Imrdow awry <br /> auhlee ro nposal fiaaMabrx osAly end werraro IhM tln rveaer haR 6aan(naalod m <br /> aeeorderwillrrrnae W d 6t!CFR Peen M and 1,no IDnpar 6 hsasrdow w6sts as eaNrne b9 RECEIVING trACIL r Y <br /> 40 CFR PaWASTE <br /> D DISPOSAL O SLUDGE - <br /> -❑CONSTRUCTION 4 WOOD <br /> ❑DEBRIS ❑OTHER <br /> ❑SPELIAL WASTE y f - <br /> GENERATING FACILITY <br /> 5M Pwft Avenue, Stod t n.CA <br /> ANSPORTER NOTES I VEHICLE LICENSE IN UMBER TRUC"UMBER <br /> I <br /> ADDRESS <br /> CITY,STATE,ZIPI <br /> PWON END DUMP BOTTOM DUMP TRANSFER <br /> SI OR[ZED AGENT OR DRIVER DATE ROLL-OFFS FLAT-BED VAN DRUMS <br /> ❑lei <br /> ❑ ❑ <br /> CUBIC YARDS <br /> I ere>by certify that the above named material has been 20T . <br /> mg <br /> a pted and to the best of my knowledge the foregoing DISPOSAL METHOD IIID 8a=COMPLETED SY tA1JDFILL) <br /> is true and accurate. <br /> DISPOSE OTHER <br /> r <br /> REMARKS ❑SOIL <br /> ❑CONSTRUCTION <br /> FACILITY TICKET NUMBER DEBRIS <br /> O NON-FI91ABLE <br /> ASBESTOS ' <br /> SIGNATURE OF AUTHOR[ZED AGENT DATE <br /> O WOOD <br /> r O ASH <br /> I <br /> 0 SPECIAL OTHER <br /> I <br /> 5CG MUST BE MADE PRIORTO3:00 P M THE DAY PRIORTO EXPECTM ARRIVAL-ANY UNSCHEDULED LOADS ARE SUBJECT <br /> ro XFL1SAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> TRANSPORTER COPY _ MANIFEST#2 1 /f 3 7 0— <br />