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') 4LVnfIlI <br /> an�o!� [ �pouht>linr ; ' fi" p Newby>ls(and` a'd P S altar `.:antlf li`,r'°Aw Sanaa Landfill _ Saniti Landfill - <br /> rY t ill rY <br /> r 'k,F 901 Batey Road",,,f r i 2310 San Mateo Road 1601=Dixon Landing Road 999GFS Austin Road <br /> Pittsburg,CA 4565 Haff Moon Bay;CA 94019 Milpitas,CA 95035 Manteca,CA 95336 <br /> Phone(925) 458-9800 Phone (650)726-1819 Phone(408)945-2600 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 /> t d <br /> GENERATOR 7 l r - f - WASTE ACCEPTANCE <br /> MAILING ADDRESS <br /> CITY, STATE,Zip g f ,, f" - REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> PHONE ❑GLOVES Q GOGGLES O RESPIRATOR ❑HARD HAT <br /> ❑TY VEK ❑OTHER <br /> CONTACT PERSON r r b <br /> SPECIAL HANDLING PROCEDURES <br /> SIGNATURE OF AUTHORIZED AGENT/TITLE DATE: � <br /> GENERATOR S CERTIFICATION I hereby certify that the above named material is not a hazardous r <br /> waste as defined by 40 CFR Part 261 or title 22 of the Calrforria code of regulations has been property <br /> described ciassilW and packaged and srn proper condition for transportation a-cording to applicable <br /> regulations AND,If the waste Is a treatment residue of■previously restricted hazardous waste <br /> subject to the Land Disposal Restrictions I certify and warrent that the waste has been treated in RECEIVING FACILITY <br /> accordance with the requirements of 40 CFR Part 268 and is no longer a hazardous waste as defined by <br /> 40 CFR Part 261 <br /> MERWASTE TYPE <br /> •DISPOSAL Q SLUDGE <br /> O CONSTRUCTION i,,,W WOOD <br /> Q DEBRIS HER 3 <br /> ❑SPECIAL WASTE <br /> GENERATING FACILITY <br /> RANSPORTER NOTES VEHICLE LICENSE NUMBER TRUCK NUMBER <br /> JADDRESSZ r 7 7 <br /> CITY, STATE,ZIP 1~ -� <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS FLAT-BED VAN DRUMS <br /> CUBIC YARDS <br /> I hereby certify that the above named material has been t <br /> accepted and to the best of my knowledge the foregoing DISPOSAL METHOD (TO 13E COM BY LANDFILL) <br /> Is true and accurate. <br /> DISPOSE OTHER <br /> EMARKS ❑ SOIL <br /> ❑ CONSTRUCTION <br /> FACILITY TICKET NUMBER DEBRIS <br /> U NON-FRIABLE <br /> ASBESTOS <br /> SIGNATUW,,OF AUTHOR D AGENT DATE <br /> r U WOOD <br /> ❑ASH <br /> U SPECIAL OTHER <br /> HEDULING MUST BE MADE PRIORTO 3.00 Pm THE DAY PRIORTO EXPECTED ARRIVAL a ANY UNSCHEDULED LOADS ARE SUBJECT <br /> O REFUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE-[)AY-BEF RE <br /> MANIFEST#- `.4 367 <br />