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L_1 Keller canyon U ox Mountain ❑ Newby Island ❑ Forward <br /> Sanitary Landfill Sanitary Landfill S Landfill Landfill <br /> 901 Bailey Road 12310 San Mateo Road 1*iax7n Landing Road 9999 S.Austin F <br /> Pittsburg,CA 94565 Half Moon Bay,CA 94019 Milpitas,CA 95035 Manteca,CA 95 <br /> Phone(93?5)458-9800 Phone(650)726-1819 Phone(408)945-2800 Phone(209) 98,' <br /> ` Fax(925)-458-9891 Fax(650)726-9183 Fax(408)262-2871 Fax(209)982.1 <br /> NON-HAZARDOUS WASTE MANIFEST <br /> GENERATOR WASTE ACCEPTANCE NO. <br /> ELEVEN <br /> MAILING ADDRESS f. 3406 <br /> P.O. O 711r <br /> CITY, STATE,ZIP REQUIRED PERSONAL PROTECTIVE EQUIPWU <br /> DALLAS TK.75221-0711 U GLOVES U GOGGLES U RESPIRATOR O HARE <br /> PHONE <br /> 208-429-8466 U TY VEK U OTHER <br /> CONTACT PERSON <br /> JAFF AUGHTERIONIE/TIM MANLEY AS AGENT SPECIAL HANDLING PROCEDURES: <br /> SIGNATURE OF AUTHORIZED AGENT/TITLE DATE <br /> e3EN BATOR'S CERtIFICATION:i heieby Ceitiry that the, a named material is not a hazardous <br /> waste as defined by 40 CFR Part 261 or fixe 22 of the Cged,and Is in proper alf is coda of regulations,has been property <br /> describedregulations:AND,H the wclassified and aste treatment residue of a f vi manly restricted <br /> a s az i rd u applicableete <br /> previously rostrk�d haaardoue wears <br /> subject to the rand Disposal Restrictions,I certify and warrant that the waste has been treated in RECEIVING FACILITY <br /> accordance with the requirements of 40 CFR Part 268 aril is no longer a hazardous waste as defined by <br /> 40 CFR Part 261. <br /> WASTE TYPE: <br /> O DISPOSAL U SLUDGE <br /> U CONSTRUCTION U WOOD <br /> O DEBRIS U OTHER <br /> U SPECIAL WASTE <br /> GENERATING FACILITY <br /> TRANSPORTER NOTES: VEHICLE LICENSE NUMBER TRUCK NUMB <br /> TIM . <br /> ADDRESS <br /> 9151 GERBER <br /> CITY,STATE,ZIP <br /> SACRAMENTO,CA 95829 <br /> PHONE END DUMP BOTTOM DUMP TRANSF <br /> 91&-589-4464 __ <br /> SIGNATURE OFA THORIZEDfAGENTORDRIVER DATE <br /> ROLL-OFF(S) FLATBED VAN DRI <br /> CUBIC YARDS u <br /> 18 YARUZ5 <br /> I hereby gertify 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. t <br /> DISPOSE OTHER <br /> t U SOIL <br /> EMARKS s i <br /> U CONSTRUCTION <br /> FACILITY TICKET NUMBER DEBRIS <br /> U NON-FRIABLE <br /> ASBESTOS <br /> SIGNATURE OF AUTHORIZED AGEW/ , E <br /> U WOOD <br /> U ASH <br /> U SPECIAL OTHER <br /> SCHEDULING MUST BE MADE PRIORTO 3:00 P M.THE DAY PRIORTO EXPECTED ARRIVAL a ANY UNSCHEDULED LOADS ARE SUI <br /> TO REFUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES <br /> MUST COP MANIEST#SCHEDULED WITH THELANDFILL THE DAY <br /> I <br />