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At ' r Lanyon , L Ox Mountain Ll Newby Island �j Forward <br /> nitary Landfill tary Landfill Sanitary idfill Landfill <br /> 01'Bailey Road 12;110 Sari Mateo Road 1601 Dixon Landing Road 9999 S.Austin Road <br /> Pittsburg,CA 94565 Half Moon Bay, CA 94019 Milpitas,CA 95035 Manteca,CA 95336 <br /> Phone (925)458-9800 Phone (650) 726-1819 Phone (408)945-2800 Phone (209)982-4298 <br /> Fax(925)458-9891 Fax(650) 726-9183 Fax(408) 262-2871 Fax (209)982-1009 <br /> NON-HAZARDOUS WASTE MANIFEST <br /> GENERATOR WASTE ACCEPTANCE N0. <br /> Central California Traction C4. <br /> MAILING ADDRESS — ---- -- ---- <br /> . 2201 W- on St - # --- 92 <br /> 0000 <br /> CITY, STATE, ZIP REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> r -- <br /> PHONE U GLOVES U GOGGLES U RESPIRATOR HARD HAT <br /> U TY-VEK FJ OTHER <br /> CONTACT PERSON <br /> Phil Covvle _ SPECIAL HANDLING PROCEDURES: <br /> SIGNATURE OF AUTHORIZED AGENT/T1TLE DATE <br /> * Contractor /16/02 None <br /> GENERATOR'S CERTIFICATION:I hereby certify that the above named materiel Is riot a hazardous <br /> waste as defined by 40 CFR Pan 261 or title 22 of the California code of regulations,has been properly <br /> described,classified and packaged,and is in proper condition for transportation acording to applicable <br /> regulations;AND,If the waste Is a treatment residue of a previously restricted hazardous waste <br /> subject to the Land Disposal Restrictions I certify and warrant that the waste has been treated In RECEIVING FACILITY <br /> accordance wllh the requirements of 40 CFR Part 268 and Is no longer a hazardous waste as defined by <br /> 40 CFR Pen 21. ---_— ------------------.------- <br /> WASTETYPE: - Forward Landfill <br /> U DISPOSAL SLUDGE 9999 S• Austin Rd <br /> U CONSTRUCTION WOOD Manteca, CA 95336 <br /> NDEBRIS U OTHER <br /> U SPECIAL WASTE _ <br /> GENERATING FACILI <br /> 1645, Cherokee Ln. , Stoc on , A - - <br /> TRANSPORTER NOTES: VEHICLE LICENSE NUMBER TRUCK NUMBER <br /> Inc._Jim Thorpe Oil, <br /> ADDRESS - <br /> r <br /> CITY, A P <br /> _ <br /> Lodi, , r T ---- - - — <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> (209)36.&-6175 --- — — - <br /> SIGNATURE F UTHORIZ D GENT OR DRIVER DATE ROLL-OFFS FLAT-BED VAN DRUMS <br /> CUBIC YARDS <br /> I hereby certify that the above named material has been <br /> accepted and to the best of my knowledge the foregoing <br /> Is true and accurate. DISPOSAL METHOD: (TO BE COMPLETED BY LANDFILL) <br /> ! DISPOSE OTHER <br /> �— I U SOIL <br /> f-1tMARKS -- — -------- -------- <br /> + U CONSTRUCTION <br /> FACILITY TICKET NUMBER DEBRIS _ <br /> U NON-FRIABLE <br /> SIGNATUR OF AUTH IZ DA E T ASBESTOS DATE ---- -- <br /> ----— ----- U WOOD <br /> U ASH <br /> U SPECIAL OTHER <br /> SCHEDULING MU!9tbE MADE PRIORTO 3:00 RM.THE DAY PR RTO EXPECTED ARRIVAL a ANY UNSCHEDULED LOADS ARE SUBJECT <br /> TO REFUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> GEMERATOR COPY MANIFEST N 150907 <br />