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��ltilay, i. 20031 4; 51PM'hll-!F0�'bUARD I�dG1C3xr�lararrt�ili ---IJewi�ylslardN,No. 1653Fc1=.P• <br /> 9i11njury. franpTlll Landfill Sanitary Landfill Sanitary Landfill Landfill <br /> 901 31ti y Rood - 14747 San Fernando Blvd, '2310 San Mateo Road 1501 Dixon Landing Rodd BBB9 S.AU{tin Road <br /> pitteburg,CA 9486 Sylmar,CA 91342 Half Moon Say,CA 94019 Wallet,CA 9503.5 Mantua,CA 9833E <br /> Phone(929)463.9800 Phont(816)833-8500 phone(650)726-1819 Rhone(406)945-2800 Phone(209)982.4296 <br /> FAX(925)458-9891 Fax(S 16)382.0464 Flex i6b(J)726-91S3 Fax(408)2E2.2871 FSK(209)982-1009 <br /> NON-HAZARDOUS WASTE MANIFEST <br /> RATO <br /> WASTE ACCEPTANCE NO. <br /> MAIUNG ADDRIGS <br /> Ro — 7637 <br /> C 8TATE ZIP TEC <br /> e� 6Q185 <br /> ONE XGLOVES d GOGGLES Q RE6PIRATOR 7t)HAAID HAT <br /> fl)it I.AAAA <br /> ACT P Q TY-VF-K ISAFETY VEST <br /> .SPECIAL HANDLING PR EDUF{E& <br /> ATU HOR E HNT l TITLE OATS <br /> eRNRRAT0R's OARTIPIp, ION1 I Morel only that 1h••hov narMC mah,ial it not II haurCou� <br /> raeN At defined by 40 CFn f fi�N1 Or 119•is of Lha Cell}pfNa We 0f r•qulatlons,hal been properly <br /> dM•hD•d,01aaa10•a•ntl PROKapad,find Is in pr00er ocndlhon for lrplWallam a-wrdlr `A Wp{oabl• <br /> r•fiul�N %ANA Il the W'Me la a tn•1men1 rWdw of•13 M IOUJIfly PUIrleted hsta Ug Wee% <br /> a 10Moo tufs with Ih 1wi01otsments of o CFpt►am!N andant[a no pnpjr I hasartlew waen„t�defiled by <br /> RECEIVING FACILITY <br /> eo ren teen ssf, <br /> WASTETYPE; <br /> 0 D191@0eAL 0 SLUDGE <br /> 0 CONSTRUCTION D WOOD <br /> J DEBRIS a OTHER <br /> Z)SPECIAL WASTE <br /> ENr=n ING FAdILITY <br /> 433 West SCop,#Avg STOCKTON <br /> TRA# R OTE VEHICLE LICENSE NUMBER <br /> ti <br /> 3 <br /> TY,STATE,ZI <br /> PHOCA9 <br /> NE ENODUMP M DUM 6FE�1 <br /> RE OF AUTHORIZE5=17-0R 0 1 AT OLL•0 F F VA 8 <br /> C=TAMUj <br /> I hereby Certify that the above named materlal hoe been <br /> aooepted end to the beet of my knowledge the for <br /> Is true find ltocurote, egoing DI$POSAL METHOD: (TO BE COMPLETED ay LANDFILL) <br /> DISPOSE OTHER <br /> EMA Q SOIL <br /> 0 CONSTRUCTION <br /> ILITYIITMT NUM DIPRIS <br /> NON-FRIABLE <br /> SIGNAT4RNFf*U1r' ORI ENT ASOGerog I <br /> Q WCOD <br /> o ASH <br /> Q SPECIAL,OTHER <br /> EDUU U$1'bE MADR PRl TO 3:00 hM.TH9 DAY PRIONTO EXPICTED ARRIVAL a ANY UNISCHNOULEO LOAD$ARE SUBJWT <br /> AL UPON ARRIVAL, ONGOING DAILY DELIVI<Ritd MUST SE SCHROULED WITH THE LANDFILL THE DAY eItFORf. <br /> LANDFILL, COPY MANIFEST# 671250 <br />