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LJ mall 9l %wall VII LJ VA 11lvuleswe1e t_t --7 --- <br /> Sanitary Landflll Sanitary Landflll Sanitary Landfill Landfill <br /> 901 Bailey Road 1231n Mateo Road 1601 Dixon Lanift Road 9999 S.Austin Road <br /> Pittsburg,CA 94565 Half OWn Bay,CA 94019 Milpitas,CA 95 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 WASTE ACCEPTANCE NO. <br /> 7 ELEVEN 3406 <br /> MAILING ADDRESS <br /> P.O. BOX 711 <br /> CITY STATE,ZIP REQUIRED PERSONAL PROTE TIVE EQUIPMENT <br /> DALLAS TX.75221-0711 U GLOVES ❑GOGGLES ❑RESPIRATOR O HARD HAT <br /> PHONE <br /> 208-429„8466 U TY VEK U OTHER <br /> CONTACT PERSON SPECIAL HANDLING PROCEDURES: <br /> JAFF AUGHTERIONIEtriM MANLEY AS AGENT <br /> SIGNATU OF AUTHORIZED AGENT/TITLE DATE <br /> r. f <br /> GENE ATOR'S CERTIFICATION:I hereby certify that the med material is not a hazardous <br /> waste as defined by 40 CFR Part 261.r tide 22 of the Calf. of regulations,has been property <br /> described, and packaged,and is in proper condition transportation a xrording to applicable <br /> ►reegg�ulafions;AND,N the waste Is s tnafinent nrefdue of a previously restricted hazardous waste <br /> sublet to fire Land Dispcoal Restrictions,I certify and warrant that the waste has been treated in RECEIVING FACILITY <br /> accordance with the requfr®menu of 40 CFR Part 268 and is no longer a hazardous waste as defined by <br /> 40 CFR Part 261. <br /> WASTE•TYPE: <br /> ®DISPOSAL 0 SLUDGE <br /> O CONSTRUCTION O WOOD <br /> 0 DEBRIS U OTHER <br /> O SPECIAL WASTE <br /> GENERATING'.FACILITY <br /> [ 2360 GRANTE <br /> TRANSPORTER NOTES: VEHICLE LICENSE NUMBER TRUCK NUMBER <br /> -A MANLEY TRU <br /> Cf. <br /> ADDRESS <br /> GERBER91151 <br /> CITY,STATE,ZIP <br /> SACRAMENTO,CA 95829 <br /> PHONE END DUMP BOTTOM DUMP TRANSFER, <br /> 916-W9-4-464, <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS FLAT-BED VAN DRUMS <br /> CUBIC YARDS <br /> id YAKLJ16 <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 /> f <br /> MARKS ❑SOIL <br /> f O CONSTRUCTION <br /> FACILITY TICKET NUMBER �` DEBRIS <br /> )U NON-FRIABLE <br /> P ASBESTOS <br /> SIGNATURE OF AUTHORIZE E TE <br /> O WOOD <br /> 0 ASH <br /> a SPECIAL OTHER <br /> SCHEDULING MUST BE MADE PRIORTO 3:00 P.M.THE DAY PRIORTO EXPECTED ARRIVAL a ANY UNSCHEDULED LOADS ARE SUBJECT <br /> TO REFUSAL UPON ARWAL:.;ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITHJHE LANDFILL THE DAY BEFORE. <br /> TRANSPORTER COPY MANIFEST# 7 <br />