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Feb 23 10 08:58a Bev (209) 462-9861 p.5 <br /> Q OX M.D.Uhtalll L_7 INiWM.p IARQ v waau <br /> Sal�itary.Lar>loil <br /> Sari 1111 Landtl� <br /> i'" 1601 D Ror`L Ndltigfload X99 S:Austin Road <br /> Aced <br /> S atm <br /> 0 <br /> :.12310 A <br /> Cofi�p Buttsi ad <br /> Corvallis OR.,97380 ll Moon.Bay,CA 94019 AAilpl•as,CA:9$035 Meone(g GA 95336 <br /> {541}.75-2018..:;.. F those{B }.728-1819 Phone�{408}945-2'400_ Fhone(2(9}982- 298 <br /> r Asx(Sa1j 7 'Fax OK 72'tfl3 Fex(406}262-2871 Faac(2�I 962-1009 <br /> Phone <br /> NON-H AZARPOUS:WASTE.MANIFEST <br /> i � iaTo WASTE ACCEPT . <br /> ktAl ADQR <br /> kc <br /> CITY STATE <br /> RECfUIRED P OVAL ROTECTIVE EOUIPIViEhI1 . <br /> POPVE <br /> S z.GOGGLES ®..RESPIRAT•OR RD HAT <br /> 0 TY VEK VEST <br /> C_1N AC PERAON SPECIAL H DI.ING PROCEDURES: <br /> IG • .REOFAUTHORI AGi T- <br /> p <br /> € TE: <br /> QE7dE tATORa GFR"iFGA7Klau:I hsa�ry cetifYtl+at the a naive :. eortal is not a txs dwts <br /> yy� apr ^ydpft�CFAPan261atN .22aF8e���uhmCoQeo1 4Jatbna,hwbeeni?r?F�0Y <br /> �aPxi�ad;plapdBaG hd pa�kaaed:and 4 a pmper,candfon fw spmdon amp ld <br /> a:APICb t}.qN Wash is•nea�nard msldua of a Pre�+lo�tti rievkt�da4ardvt�irMfto. <br /> "!u eattc,me+.atKl +oo i R cua a,i tY and warram fat dna awaam-nae neEntrea»d�n RECEIANG FACILITY <br /> -•.adpar44a+.roo rdln .re4rd_raaweo+:d sea 20 and is.rw lonpev aiiaemaua webs as,oenrsaa ov, <br /> ®t1:cFFl Pint asr,-_; <br /> WASTE <br /> 7 SLUDGE <br /> C4 TRUCTION O W000 <br /> O Ct FtiS• a OTHER <br /> �� taaTrnlG� ci rc• - .. <br /> E�NS'1?: RT R'-.A-." <br /> ,[VfITES: VEHI KMM6E NUMBER TRUCK NUMBER <br /> r <br /> ApQRESS •' <br /> C1TY;STATE;. li?1 <br /> PH' d d END,DUMP. BOTTOM DUMP TRANSFER <br /> j <br /> S. TURE:OF- G . 8 R A RQ FLAT-6ED 'VAN DRUMS <br /> ❑ ❑ ❑ " ❑ <br /> CUBIC.YAR.DS <br /> 11 hemby certti�r.that the above named rhaterlal las been <br /> aocepted ani ec the b 't.ot i— knowledgt�the ta�egoing DISPOSAL FAE'i H= • CrO BE COMPLETED BY LANDFILL) <br /> Is true and*siccurate_ <br /> DISPOSE OTHER <br /> E1tifL�RKS 0 CAN,STRUCTION <br /> t�al�t <br /> FACILITYTICKET NUMBER C1 RtON FRTABt.` <br /> ASBESt09` <br /> SIGNATURE AUTH0Fll AGENT' DPTI <br /> O woo <br /> UASH <br /> yk � f ' \•� o SPECIAL 07tiEFI . <br /> H L1NGMUSTBEM, FATHEDAY-PRIER 1-090EUMDARRNAL•�dW:U '.� KEDU L ARE SU BjEcr <br /> %h iqE tiPON ARRIVAL. IDNOO�W® t}AILY 6 FFAk 47` Bt EDULED WITH THE.LAIdDFILL THE DAY f�JEF E. <br /> s, GENERATOR COPY: AIWIFESTi�7 ,C <br />