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U Iw-Isys ViassyvIN u vw I®Ivasllacllll IJ e®4®w"y IaIaIIM li I venaev <br /> Sanitary Landfill Sanitary Landfill SanitaryLandfill Landfill <br /> 901 Bailey Road 12 a6 Mateo Road 1601 Dixon Lqg Road 9999 S.Austin Road <br /> Pittsburg,CA 94565 Hai oKBay,CA 94019 Milpitas,CA 9 Manteca,CA 95336 <br /> Phone(925)458-9800 Phone(654)726-1819 Phone(408)945-2800 Phone(209) 982-4298 <br /> Fax(925)48-9891 Fax(650)t6-9183 Fax(408)262-2871 Fax(209)982-1009 <br /> NON-HAZARDOUS WASTE MANIFEST <br /> GENERATOR WASTE ACCEPTANCE NO. <br /> 7 ELEVEN <br /> MAILING ADDRESS °' 3406 <br /> P.O.BOX 711 <br /> CITY,STATE,ZIP REQUIRED PERSONAL PR TE TIVE EQUIPMENT <br /> DALLAS TX.75221-0711 0 GLOVES 0 GOGGLES 0 RESPIRATOR 0 HARD HAT <br /> PHONE <br /> 208-429-8466 0 TY VEK 0 OTHER <br /> CONTACT PERSON SPECIAL HANDLING PROCEDURES: <br /> F <br /> SIGNATURIE OF AUTHORIZED AGENT/TITLE DATE <br /> D RATOR'S CERTIFICATION:I hereby certify that the a named material is not a hazardous <br /> waste es deflnad by 40 CFFl Part 261 or title 22 of the CaN regulations,has been properly <br /> claseifled and packaged,and Is In proper condihi for transportation a'xording to applicable <br /> regulationa;AND,N On waste Is a t►eatnent residue W4 previously restricted hazardous waste <br /> subject to the Lath Disposal Restrictions,I car*and warrant that the waste has been treated in RECEIVING FACILITY <br /> accordance with the requirements of 40 CFR Part 268 and is no larger a hazardous waste as defined by <br /> 40 CFR Part 261. <br /> IIIIIIIWASTE TYPE: <br /> O DISPOSAL U SLUDGE <br /> U CONSTRUCTION U WOOD <br /> U DEBRIS U OTHER x <br /> O SPECIAL WASTE <br /> GENERATING FACILITY <br /> 7 ELEVEN#32262 —7360 GRAN I LINE RL) I KAUY c; <br /> TRANSPORTER NOTES: VEHICLE LICENSE NUMBER TRUCK NUMBER <br /> TIM A MANL Y TRUCKING,INC, _ <br /> ADDRESS ' <br /> 9151 GERBER ROAD <br /> CITY,STATE,ZIP <br /> SACRAMENTO,CA 95829 <br /> PHONE END DU BOTTOM DUMP TRANSFER <br /> 916-68 ❑ <br /> SIGNATURE OF#UTHORIZED GENT OR DRIVER DATE ROLL-OFFS FLAT-BED VAN DRUMS <br /> 1r ❑ ❑ ❑ ❑ <br /> CUBIC YARDS <br /> hereby certify that the above named material has been <br /> accepted and to the best of my knowledge the foregoing <br /> DISPOSAL METHOD: (ro BE COMPLETED BY LANDFILL) <br /> Is true and accurate. <br /> DISPOSE OTHER <br /> M <br /> �t 0SOIL <br /> ARKS <br /> U CONSTRUCTION <br /> FACILITY TICKET NUMBER DEBRIS <br /> U NON-FRIABLE <br /> ASBESTOS <br /> SIGNATURE OF AUTHORIZED AGENT jA)�EH 1 ❑wooD <br /> 0 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 SUBJECT <br /> TO REFUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> TRANSPORTER COPY MANIFEST# 7 <br />