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Feb 23 10 08:56a Bev (209) 462-9861 p.4 <br /> O Ox Mountain E'Nevift Island <br /> R , <br /> Sanitary Landfill SanWIFy Lapdfir Landfill <br /> matte Road 12310 San Mateo Road 1601 Dixon Landing Road 9999 S.Austin Road. <br /> 9?330 I-;efl Moon Bay,CA 94019 Mllpl'as,CA 95035 Manteca,CA 8533E <br /> (541)745-2018 (650)72s-1619 Prone(40B)1345.2800 Phone(209)962.42&8 <br /> tt na ':r.F2od <br /> 1)745-38 <br /> (5426 Fax(654)726-9183 Fax MCS)262-2871 Fax(209)962-1009 <br /> NON-HAZARDOUS WASTE MANIFEST <br /> OP <br /> WASTE ACCEPTANCE NO. <br /> No ADORE <br /> CITY,ST,4 REQUIRED PERSONAL PROTE-CT—iVE EQUIPMENT <br /> PHONE CVES Q GOGGLES ®RESPIRATOR RD HAT <br /> O TY•VEK ;a"a F07Y VEST <br /> CONTACT PERSON <br /> SPECIAL HANDLING PRC7CEDURES: <br /> SIGNATURE OFAUTH�IZEd AGENT/MILE DATE <br /> GBNEAATOFrSCERTF.ICAIMN:i hw4by Eertlfyl ae+llBdm -I.i rgta'1affirdara. <br /> washeas by 40 CPA Pan2ai or u 22t11C �t9at=ragu�t�uu;��be�npPoperr <br /> descvined a Packaylad;.and m fn:.. pon$ta9 t d'CO t!l Q Qe kyr z <br /> raWatfona:AkU a m wwisjo a, Y` A tdoca>wgia <br /> subject co the Lsrep Dlepeea�.ApalrbtlarK t aa"r apd j ?ra�..Ja`pS.: aaaroa� . <br /> appordence w4bftraCWranro .OtM1CFRPett�96and �infr�elgpY;hoxare�a 'wasfaaaEot adbY 'EI EI�/fI11Ci AtiI�.IN'.. .. .. - <br /> 40 0F:1 Part 281. r: R <br /> WASTE TYPE: <br /> OSAL D SLUDGE <br /> U CONSTRUCTIOn o WOOD <br /> a DEBRIS BOTHER <br /> ❑SPECIAL WASTE <br /> GENERATING FACILITY <br /> TRANSPORTER NOTES: VEHI LICENSE NUMSERJ TRUCK NUMBER <br /> ADDRESS <br /> ' CITY,STATE,ZIP <br /> PHONE END PUMP DOT M-WoUMP <br /> TRANSFER <br /> SIGNATURE O AU D .i DATE LL-0FF(S) FLAT-BED VAN DRUMS <br /> CUBIC YARDS <br /> hereby certify that above named material-hes been <br /> accepted and to the best.of my knowledge the foregoing <br /> I&true and accurallte. DISPOSAL METHOD: ;TO BE COMPLETED BY LANDFILL) <br /> DISPOSE OTHER <br /> MARKS U SOIL <br /> Q CONSTRUCTION <br /> FACILITY TICKET NUMBER Dl=8.F11S. <br /> Q MON FRIABLE _ <br /> SIGNATURE.OFAUTHO aEDAGENT DATE ASBESTCxS <br /> J wood <br /> Ck ASH. <br /> Q SPECIAL QrHEFt <br /> SCHEDULING MUST BEM• .•ORTO3:00 P.LLTHE DAY'PRIORTO EXPECTED ARRIVAL•ANY UNS CHIEDULED LOADSARE SII . CT <br /> .TO REFUSAL.UPON ARRIVAL—ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BiEFORE. <br /> MANIFEST aY ti(lf1f <br />