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F%wil ie h/Q®ryVBO U WA mWU111.001! U e,6VVYr lavallu " r%pivvasY <br /> Sanitary Landfill Sanitary Landfill Sanitary Landfill Landfill <br /> 904 Bailey Road 12j&an Mateo Road 1601 Dixon L�g Road 9999 S.Austin Road <br /> Pittsburg,CA 94565 Ha oon Bay,CA 94019 Milpitas,CA 9 5 Manteca,CA 95336 <br /> Phonk(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 <br /> 7 ELEVEN WASTE ACCEPTANCE N0. <br /> MAILING ADDRESS 3406 <br /> P.O. BOX 711 <br /> CITY,STATE,ZIP REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> DALLAS TX.76221-0711 O GLOVES O GOGGLES U RESPIRATOR O HARD HAT <br /> PHONE <br /> 208-429-8466 ®TY VEK O OTHER <br /> CONTACT PERSON <br /> JAFF At t <br /> SPECIAL HANDLING PROCEDURES: <br /> SIGNATUK OF AUTHORIZED AGENT/TITLE DATE <br /> GENERATOR'S CERTIFICATION:I hereby certify that the a named material Is not a hazardous <br /> waste ss defined by 40 CFR Part 261 or title 22 of the Cali a cwde o1 regulations,has been property <br /> .da®allied and packaged,and is in proper condi for transportation a^cording to applicable <br /> AND,if the waste Is a treatment residue of a previously restricted hazardous waste <br /> su a ti a Land DisposalI certify and warrant that the waste has been treated in RECEIVING FACILITY <br /> accordance with the requirements of 40 CFR Part 266 and is no longer a hazardous waste as defined by <br /> 40 CFR Part 261. <br /> WASTE TYPE: <br /> O DISPOSAL O SLUDGE <br /> O CONSTRUCTION O WOOD <br /> O DEBRIS O OTHER <br /> O SPECIAL WASTE <br /> GENERATING FACILITY <br /> 7 ELEVEN#32262 2360 GRANTLINE RD TRACY CA . <br /> TRANSPORTER NOTES: VEHICLE LICENSE NUMBER TRUCK NUMBER <br /> TIM A MANL EY TRUCKING, INC. ', <br /> ADDRESS <br /> 9151 GERBER ROAD <br /> CITY,STATE,ZIP <br /> SACRAMENTO CA 95829 <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> 9 4 64 <br /> SIGNA, RE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS FLAT-BED VAN DRUMS <br /> CUBIC YARDS <br /> 18 YARDS <br /> I hereby certify that the above named material h s been <br /> accepted and to the best of my knowledge the fo gefii g DISPOSAL METHOD: <br /> Is true and accurate. (TO BE COMPLETED BY LANDFILL) <br /> DISPOSE OTHER <br /> i t <br /> MARKS � 1 0 ®SOIL <br /> O CONSTRUCTION <br /> FACILITY TICKET NUMBER DEBRIS <br /> O NON-FRIABLE <br /> SIGNATURE OF AUTHORIZED AGE ASBESTOS <br /> J DAT <br /> O WOOD <br /> O ASH <br /> O SPECIAL OTHER <br /> .SCH <br /> EDULING MUST BE MADE PRIORTO 11:00 P.M.THE DAY PAIIORTO EXPECTED ARRIVAL*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#2c6353 <br />