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Feb 23 10 08:56a Bev (209) 462-9861 P.3 <br /> LJ Ox Mountain LJ New land and <br /> Sanitary Landfill Sant Landfill . Landfill <br /> Coffin Butte Road 12310 Sen.Meteo road 1601 Dixon Landing goad 9999 S..At.tstin%a.f <br /> As OR 97330 Had Awn Bay,CA 94019 Milpitas,CA 95035 Manteca,CA 95336 <br /> Phone(541)746.2018 Phone(660)7226-1819 Phone(406)945-2800 Phone(209)982-4298 <br /> Fax(541)745-3828 Fax(650)726-9183 Fax(408; 262-2871 Fax(209) 982-1009 <br /> h, <br /> *� F <br /> -NON-HAZARDOUS WASTE MANIFEST <br /> RATOR WASTE A10CEPTANCE NO. <br /> MAILING ADDRESS <br /> CITY,STAT ROQUIRED,PERSONAL PROTECTIVE EQUIPMENT <br /> PHONE GLOVES O GOGGLES ZI RESPIRATOR Q�RD HAT <br /> ®TY-VEK ETY VEST <br /> CONTACT PERSON <br /> SPECIALDLING PROCEDURES: <br /> LDL <br /> SIGNATURE OF AUTHORf9EDILGENT1,,nTLE DATE <br /> - / v <br /> ' C <br /> GENE14ATOR'S GERnOCATIOM i 11e165y oeft that the about rmued m"IsMi a hexardars <br /> waste as defined by 43 CPR Put 261 or*1422 of the CalNwnia sods at rogelofeona,has been properly - <br /> mribed.daasiliWardpackagwd,and is in proper condllart for trenspalailon e. n®to appitam <br /> regUa ions.ANM 7 thr wesb is a avatment r.pakhm of a prewbrsly restricted hazardous waste . <br /> s rbjeer o tta®Lartd 0iapcoai Restriction;I wrtily and warrant ttatVe waste has treated in R ECEIWlhfG FACILITYaoca'dlsece w+.Ih the,"Urencents o}40 R Part 268 and is no.longer a hazardous waste as tieened Dv <br /> 40 CFR Put 261. <br /> WAS! TYPE: <br /> jFQIJ9POSAL ®SLUDGE <br /> Q CONSTRUCTION O WOOD <br /> *DEBRIS O OTHE9 <br /> SPECIAL WASTE --- <br /> GENERATING FAC TY <br /> TRANSPORTE=R NOTES: VEHICLF..LJCENSE NUMBEn TRUCK NUMBS <br /> ADDRESS {� <br /> CITY,$TATE,ZIP <br /> PHONE END DU BOTTOM DUMP TRANSFER <br /> SIGNATURE OFAUTHORIZED AGENT OR DRIVER DATE -OFFS) FLAT-BED WAN DRUMS <br /> ,9 <br /> '= CUBIC YARDS <br /> I hereby certify that the.above named material has <br /> accepted and to the best of my knowledge the foregoin <br /> is true and accurate. g DISPt95AL METHOD: Fro BE COMPLETED BY LANDFILL) <br /> DISPOSE OTHER <br /> O SOIL <br /> EMAflI<$ <br /> O CONSTRUCTION <br /> FACILITY TICKET NUMBER DEBRIS <br /> O NON-FRIABLE <br /> SIGNAT E O AUTM AJPIZEDAGENT DATE - <br /> I Jr, D WOOD <br /> IU ASH <br /> e' <br /> ❑SPECIAL OTHER <br /> r <br /> ECIULING M1111ST BE MADE PRIORTO3:OOPJLTHEDAY PRIORTO EXPECTED ARRIVALeANY UNSCHEDULED 1_6ADSARE SUBJECT <br /> TO REFUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> MANIFEST 4 <br /> GENERATOR COPY 10 9 P <br />