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UGt• b - LUU4 J:WM rW�right Environmental 332-5152 <br />zu.uvr .unsure <br />No•4/bb, P° 2 <br />Island <br />u L_.1 VA naevueea4ane <br />U vocwby ..�.Puiward <br />Sanitary Landfill S4bary Landfill <br />Sanitary Llftfill Landfill <br />901 Bailey Road 12 San Mateo Road <br />1601 Dixon LaAW9 Road 9999 S. Austin Road <br />Pittsburg, CA 94565 Half Moon Bay, CA 94019 <br />Milpitos, CA 95035 Manteca', CA 95336 <br />Phone (925) 456-9800: Pho a (650) 726-1819 <br />Phone (408) 945-2800 Phone (209) 982.4298 <br />Fax (925) 458-9891 Fax j650) 726-9183 <br />Fax (408) 262-2871 Fax (209) 982-1009 <br />NON -HAZARDOUS WASTE <br />MANIFEST <br />GENERAT R <br />' <br />WASTE ACCEPTANCE NO. <br />MAILING ADDRESS <br />CITY, STATE, zl <br />REQUIRED PERSONAL PROTECTIVE EOUIPMENT <br />Q GLOYP. ,0 G&GLES , U RESPIRATOR O HARD HAT <br />0 OTHER <br />CONTACT PERSO. <br />- <br />SPECtALHANDLING PROCEDURES: <br />SIGNATURE O AUTHORIZED THORIZED AGENT /TITLE DATE <br />e. ut' r •"- -- <br />GENERATOR'S CERTIFICATION: I - Ivy rAilify that the above named rnaledal is tv-4 a hazrnlous <br />waste as defined by 40 CFR Parl 26rtillo 22 of the Cafilornia code of reyulaliwts, les Iwon prnparly <br />described° claseilkld mut paukapad. and is in proper condllk'Al tot Itans" alion a-ctin&V to 7fy71r1ble <br />teAutalions; AND, It the wash Is a treatment residua of a pfevleusly reslrtotsd hazardous wolFto <br />' <br />subject to the Lank! Disvosal Rusarirlinns. I cer(Ity and witoant U1af (iw wash Ms hnnn treatad in <br />amordanee with Ilia raptirwtuutLs of 40 GFA Fart 268 and is no Ituupu a h-warrkuis wasla As defined by <br />RECEIVING FACILITY <br />40 GFR Part 261. <br />WASTE TYPE: -- -- ..._ ......_.-- <br />�''I.s; .� Fr�1 e`.. <br />AK151SPOSAL O SLUDGE <br />U CONSTRUCTION O WOOD <br />0 DEBRIS U OTHER <br />4 SPECIAL WASTE <br />-- <br />GENERATING FACILITY <br />ADDRESS ;-J' <br />zz <br />S; - <br />z° 1'2 <br />CITY, STATE, <br />PHON'E..�— <br />SIGNATt3RR <br />f <br />OTES: I VEHICLE LICENSE NUMBER TRUCK NUMB) <br />END DUMP BOTTOM DUMP-("— TRANSF <br />ROLL-OFF(S) "+ r FLATBED VAN Det <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 />SIGNATURE OF•AU-1HORIZED AGENT <br />a SOIL <br />U CONSTRUCTION <br />DEBRIS <br />0 NON -FRIABLE <br />ASBESTOS <br />DATE <br />O WOOD <br />l'J ASH <br />f; <br />O SPECIAL OTHER <br />SCHEDUUNG MUST' BE MADE PRIIORTO 3.-WP-M.THE DAY PRIORTO'EXPECTED ARRIVAL'e'ANY UNSCHEDULED LOADS ARE SUBJECT <br />TO REFUSAL, UPO1f'ARRIVAL..ONGOING -DAILY:DELIVERIES -MUST BE. SCHEDUL£D:W.ITH?THEaANDFILL THE; DAY. -BEFORE., . <br />PAAWKwAT a -7 i'l C M 0 <br />