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' ❑ Keller Canyon ❑ Ox Mountain ❑ Newby Island Forward <br /> Sanitary Landfill Sanitary Landfill Sanitary Landfill Landfill <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 Milp tas, CA 95035 Manteca,CA 95336 <br />' Phone(925)458-9800 Phone(650)726-1819 Phone(408)945-2800 Phone(209)982-4298 <br /> • Fax(92S)458-9891 Fax(650)726-9183 Fax(408)262-2871 Fax(209)882-1009 <br />' NON-HAZARDOUS WASTE MANIFEST <br /> GENERATCA WASTE ACCEPTANCE NO. <br />' <br /> M.AlLJWG ADD SS19 e�5 <br /> _ <br /> CITY STATE,ZI REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> ❑GLOVES U GOGGLES O RESPIRATOR U HARD HAT <br />' -AR- <br /> PHONJE <br /> ❑TY-VEK ❑OTHER <br /> CONT,ACT PERSON f SPECIAL HANDLING PROCEDURES <br /> 14a4- LAI— <br />' SIG ATURE OF AUTHORIZED AG N /TITLE DATE <br /> P61=f <br />' GENERATOFrs cium cuioN i wow osddy that named meta w is not a hazardous <br /> waste as detlrrsd by 40 CFR Pad 291 or Oft 22 of the Canlomia code of reguMoM leas been properly <br /> descn�ed ctasni5ed and packaged and is in proper coodifion for varraporta*m&-zorft to app5cable <br /> regdaWm APIC.lfthe waste b a hsspnsrt nssktuo of a+xavloeesy roahlCed hazsrdotn waste <br /> w4W to Vee UUW Dispasai Restric4orn,l candy and warrant t U.rrasoa he'tee"treated in' RECEIVING FACILITY accpdanee with the rednan <br /> id mes of 40 CFR Pad 265 d b no us a hamdowaste as dermad by <br /> 40 CFR Pad 261 <br /> WA_ST_E TYPE <br /> ISPOSAL ❑SLUDGE <br />' U CONSTRUCTION O WOOD <br /> 0 DEBRIS ❑OTHER <br /> O SPECIAL WASTE <br /> GENERATING FACILITY <br /> TRANSPORTER NOTES VEHICLE LICENSE NUMBER IMCK NUMBER <br />' AD SS y <br /> CITY,,STATEjzlp <br /> PHONE EN UMP BOTTOM DUMP TRANSFER <br /> . ❑ <br /> SIGNATUPAE OF AUTHORIZED GENT OR DRIVER DATE ROLL 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 /> IREMARKS a SOIL <br /> ❑CONSTRUCTION <br /> FACILITY TICKET NUMBS DEBRIS <br /> I ❑NON-FRIABLE <br /> ASBESTOS <br /> SIGNATURE OF AUTH014LZeb AGENT DATE <br /> ❑WOOD <br /> � LSH OTHER <br /> I <br /> SCHEDULING MU 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 TIE DAY BEFORE. <br /> MANIFEST# R Q 7 9 <br />