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Feb 23 10 08:55a Bev (209) 462-9861 P.1 <br /> Ow—UNiewbMancl.; Qam <br /> –urnwry Landfill. Sant ,Lalndf Landfill <br /> atl 12310 San Mateo Road 1601 Dxcn LFnding,Poad 9999 S.Austin 8080 <br /> is;OR 87330 <br /> "*-fAoon Boy,CA 94019 lvfi itas.CA 99035 Manteca,CA.95336 <br /> Phony(541)745-201'8' Phone-(W)726-1819 Pyne(40$)945-2800 Phone(209)982.4296 <br /> (925)4589881 Fax.(541)745-3826 Fax(8850)726.9183 Fax(40M 262.2871 Fax(209',982-1009 <br /> NON-HAZARDOUS WASTE MANIFEST. <br /> FENEFIA 0" WA ACCEPT CE NOADDRESSATE:zf REQUIRED P.E A PR tUIPMENT <br /> 1'ES ❑GOGGLE$ ❑RESPIRATORARD HAT <br /> PHONE_ <br /> O TY-V EK O SAFETY VEST <br /> coNTACTpEik N <br /> - SPECIAL HAND.-i.,G Pf�OCEDflRES: <br /> SIGNATURE OFAUTH AGENT TITLE DATE. <br /> aENuiA cw6cEFtY1" n; Aeryy that i is abavernmott rnatsrbl is n R a i (/azatdouJ m <br /> wa�o as detfefeI V-da�Part�B � M th6CaFbrhfaccMc[-sz tiOna.haeb➢�11'WOPMV ' <br /> dasciCid;Gaaai6a9 and?eckaped.and.b:0k,p r,6m Nemfartwwatmtlan anoordire�,Yo;ep{,d3aa61e. <br /> rague:iona;AND,it t w wash�a-Vsl;legH al a Pertweiy mmuneted tlazwags 1620 <br /> s�epa<totnot:a,docpesafa�irotone"0 irrdwwanttnatthe wastebwboantreWaden RECEIVING.FACILITY { <br /> accbrawles wiln.tlte rAaJlramanEQ o! GIFt'Part 268 ard.is m bnger a Fazardoss was'.e as ddkred ty <br /> 40 CFR Pan 281 <br /> WASTE TYPE: <br /> b AL QSLUI�E c <br /> O CONSTRUCTION crwosb, <br /> O DEBRIS 0 OTHER i.. y <br /> GJ SPECIAL WASTE <br /> GENERATING FACILITY <br /> TRANSPORTER NOTE S: VEHICLEUCENSENUMBER TRU..CKN.gMBER ' <br /> ADDRESS <br /> ILy <br /> CITY,STATE,Z <br /> PHONE END Dt� BOTTOM DUMP TRANSFER <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE - O.LI. FLAT-PED VAN DRUNKS <br /> U a <br /> CUBIC YARDS <br /> I hereby certify that the above narned material has been <br /> accepted and to the best of my know4edge the foreWing <br /> Is true and accurate. aSP L METHOD: (TO BE COMPLErEa BY LANDFfLL) <br /> DISPOSE OTHER <br /> SOIL <br /> FMOARKS <br /> O CONSTRUC.TKibl' <br /> FACILITY TICK67-NUMBER DEBRIS <br /> O NON-FRIABLE <br /> ASBESTns <br /> SIGNATURE, TH 1ZED A ENT DATE <br /> q r � O WOOD <br /> f r <br /> Q SPECIAL Ol'NP£? <br /> SCHEOWNGIA=BEMADEPR*1'T03:OCP.M.TM'DAY•RAk4RTOEXPECTEOARRIVAL*ANY,UNISCMED t.OADSARE•SUBJEGT <br /> TO REFUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST LBE SCHEDULED WffH THE LANDFILL THE GAY BEFORE. <br /> r<F-naFfaaTnu rnpv <br /> MANIFEST M 1^ R A Q C <br />