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L_je+ •+ .r�...J+.. u w.. ...v....a.:.eee r_j .aM •Y' eeaecaeeM Lj a VenglY <br /> Sanitary Landfill Sanitary Landfill Sanitary Landfill Landfill <br /> 901'Bailey Road 12 an Mateo Road 1601 Dixon L Road 9999 S.Austin Road <br /> Pittsburg,CA 94565 Ha on Bay,CA 94019 Milpitas,CA 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 <br /> MAILING ADDRESS 3406 <br /> .BOX 711 <br /> CITY,STATE,ZIP REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> DALLAS TX.75221-0711 U GLOVES U GOGGLES U RESPIRATOR U HARD HAT, <br /> PHONE <br /> 208-429.8466 U TY VEK ❑OTHER <br /> CONTACT PERSON <br /> JAFF AUGHTERIONIEf rIM MANLEY AS AGENT SPECIAL HANDLING PROCEDURES: <br /> SIGNATURE. F AUTHORIZED AGENT/TITLE DATE <br /> GENERATOR'S CERTIFICATION:i hereby certify that th��pret_vikollusty <br /> amad material is not a hazardous <br /> waste as defined by 40 CFR Pert 281 or title 22 of the Code of regulations,has been property <br /> described,ctasaified and packaged,and is in properransportation avording to applicable <br /> regulations;AND,N the waste Is a treatment reaidus orestricted hazardous waste <br /> "am to the Land Disposal Restrictions,I certify and warreM that the waste has been treated In RECEIVING FACILITY <br /> accordance with the requirements of 40 CFR Part 288 and is no longer a hazardous waste as defined by <br /> 40 CFP Part 281. <br /> WASTE TYPE: <br /> O DISPOSAL O SLUDGE <br /> O CONSTRUCTION U WOOD <br /> U DEBRIS U OTHER <br /> U SPECIAL WASTE <br /> GENERATING FACILITY <br /> 7 ELEVEN L d <br /> TRANSPORTER NOTES: VEHICLE LICENSE NUMBER TRUCK NUMBER <br /> ADDRESS <br /> 9151 &TIRBER ROAD <br /> CITY,STATE,ZIP <br /> SACRAMENTO,CA 95829 <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> 916-689-4464 <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 <br /> accepted and to the best of my knowledge the foregoing DISPOSAL METHOD: (TO BE COMPLETED BY LANDFILL) <br /> Is true and accurate. , <br /> DISPOS -,- OTHER ` <br /> MARKS U SOIL <br /> U CONSTRUCTION <br /> FACILITY TICKET NUMBER DEBRIS <br /> U NON-FRIABLE <br /> SIGNATURE OF AUTHORIZED AgENT ATE ASBESTOS <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*ANY UNSCHEDULED LOADS ARE SUBJECT <br /> TO REFUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THLE DAY EFORE. <br /> Y SPORTEf3 COPY MANIFEST#2 33 �� <br />