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❑ Keller Canyon ❑ Ox Mountain ❑ Newby Island orward <br /> Sanitary Landfill Sanitary Landfill Sanitary Landfill L dfill <br /> 901 Batley Road 12310 San Mateo Road 1601 Dixon Landing Road 9999 S Austin Road <br /> Pittsburg,CA 94565 Half Moon Bay, CA 94019 Milpitas,CA 95035 Manteca,CA 95336 <br /> Phone(925)458-9800 Phone (650)726-1819 Phone(408)945-2800 Phone(209) 982-4298 <br /> Fax(925)458-9891 Fax(650) 726-9183 Fax(408)262-2871 Fax(209)982-1009 <br /> NON-HAZARDOUS WASTE MANIFEST <br /> GENERATOR Laytinawcam WASTE ACCEPTANCE NO. <br /> I MAILING ADDRESS28 <br /> Nunn EA Loccato AVE <br /> CITY,STATE,ZIP REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> PHO E 0 GLOVES ❑GOGGLES U RESPIRATOR O HARD HAT <br /> D TY-VEK 0 OTHER <br /> CONTACT PERSON <br /> Shia Ei* <br /> SPECIAL HANDLING PROCEDURES <br /> SIGNATURE OF AUTHORIZED AGENT/TITLE DATE <br /> * � yn� <br /> i <br /> I GENERATOR'S CERTIFICAnON t hereby certify that above named material is not a hazardous <br /> waste as daflned by 40 CFR Part 261 or We 22 of the Callfomia code of regulattons has been Properly <br /> described dads ifled and packaged and Is In proper condition for transportation a-cording to applicable <br /> regulations ,ff the wawa fs a awbnnnt residue of a previously restricted hazardous waste <br /> subject:to the Land Disposal Restrictions t certify and warrant that the waste has been treated In RECEIVING FACILITY <br /> I accordance with the requirements of 40 CFR Pan 268 and ksno rear a hazardous waste as defined by _ <br /> 4lT CFR Pad 261 ,.. <br /> W T TYPE l°' r <br /> DISPOSAL Q SLUDGE <br /> CaSONSTRUCTION 0 WOOD <br /> O DEBRIS 0 OTHER <br /> ❑SPECIAL WASTE <br /> GENERATING FACILITY <br /> 110 WA at Salaiofrlas SL STOCKTON <br /> TRANSPORTER NOTES VEHICLE LICENSEf6IUMBER TRUCK NUMBER <br /> Thairpodua <br /> ADDRESS <br /> 351 N <br /> CITY,STATE,ZIP <br /> IPHONE END DUMP BOTTOM DUMP TRANSFER <br /> ❑ ❑ ❑ <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLATBED VAN DRUMS <br /> ECUBIC YARDS <br /> hereby certify that the above named material has been <br /> accepted and to the best of my knowledge the foregoing DISPOSAL METHOD (O BE COMPLETED BY LANDFILL) <br /> Is true and accurate. <br /> DISPOSE OTHER <br /> O SOIL <br /> REMARKS SII <br /> Q CONSTRUCTION <br /> FACILITY WICKET NU ER DEBRIS <br /> I 0 NON-FRIABLE <br /> ASBESTOS <br /> SIGNATURE OF HOR D AGENT DATE <br /> 0 WOOD <br /> 0 ASH <br /> / 0 ECTAL OTHER <br /> SCHEDULING MUST BE MAGE PRIORTO 3:00 P M THE DAY PRIG TO EXPECTED ARRIVAL•ANY UNSCHEDULED LOADS ARE SUBJECT <br /> TO REFUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> 4 &K-A, �.,�. MANIFEST# I P 7 7,;n <br />