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❑ Keller Canyon ❑ Ox Mountain ❑ Newby Islandorward <br /> Sanitary Landfill Sanitary Landfill Sanitary Landfill andfill <br /> 901 Bailey Road 12310 San Mateo Road 1601 Dixon Landing Road 9 9 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 /> 9 L'ax(925)458-9891 fax(650) 726-9183 Fax (408)262-2871 Fax(209)982-1009 <br /> NON-HAZARDOUS WASTE MANIFEST <br /> GE ER TOR WASTE ACCEPTANCE N0. <br /> IMAILING ADDRESS <br /> CITY, STATE,ZIP REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> 0 GLOVES 0 GOGGLES 0 RESPIRATOR 0 HARD HAT <br /> PH.QNE <br /> ❑TY VEK 0 OTHER <br /> CONTACT PERSON SPECIAL HANDLING PROCEDURES <br />' SIGNATURE OF AUTHORIZED AGENT/TITILVE DATE <br />' GENERATOR'S CERTaFICATION I hereby certify dnat the above namTd material Is not a hazardous <br /> waste as defined by 40 CFR Part 261 or We 22 of the California coda of regulations,has been property <br /> described,classified and packaged,and is in proper congWon for transportation a-cording to applicable <br /> regulations ANA,k the waeta is a treatmont residue of a previously restrwted hasardous waste <br /> subiect to die Land Disposal Restricl3ons 1181*and warrant that the waste has bean treated ka RECEIVING FACILITY <br />' accordance with the requirernants of 40 CFR Part 268 and is no longer a hazardous waste as defined by <br /> 40 CFR Pert 261 <br /> WAT PE <br /> SPOSAL ❑SLUDGE <br />' ❑ ONSTRUCTION 0 WOOD <br /> ❑DEBRIS 0 OTHER <br /> 0 SPECIAL WASTE <br /> GENERATING FACILITY <br />' 110 Wert Boom=SL SZiOGKTON <br /> TRANSPORTER NOTES VEHICLE LICENSE NUMBER TRUCK NUMBER <br />' ADDRESS <br /> 2/ <br /> 351 Nail Beeman Rd. <br /> CITY,STATE,ZIP <br />' PHONE END OUMP BOTTOM DUMP TRANSFER <br /> �J 36"175 ❑ <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFF(S FLAT BED VAN DRUMS <br />' CUBIC YARDS <br /> I hereby certify that the above named material has been <br /> accepted and to the best of my knowledge the foregoing DISPOSAL METHOD (TO BE COMPLETED BY LANDFILL) <br /> Is true and accurate. <br /> DISPOSE OTHER <br />' ❑SOIL <br /> REMARKS <br /> ❑CONSTRUCTION <br /> FACILITY TICKET NUMBER DEBRIS <br />' ❑NON-FRIABLE <br /> ASBESTOS <br /> SIGNATURE OF AUTHORIZED AGENT DATE W D <br /> "k O SPECIAL OTHER <br /> SCHEDULING MUST BE MADE PRIORTO 3.00 P M.THE DAY PRIORTO 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 />