Laserfiche WebLink
�J .a .. vu..lv.. I I via e®.vaw..aawe.e I i .ev aw vj ay.M..w L_J . a w.— <br /> Sanitary Landfill Sanitary Landfill Sanitary Landfill Landfill <br /> 901 Bailey Road 12 an Mateo Road 1601 Dixon g Road 9999 S.Austin Road <br /> Pittsburg,CA 94565 Ha on Bay,CA 94019 Milpitas,CA 9 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 /> P.O.BOX 711 <br /> CITY,STATE,ZIP, REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> DALLAS 7X.'75221-0711 O GLOVES U GOGGLES 0 RESPIRATOR Q HARD HAT <br /> PHONE <br /> 208-4291-8466 Q TY VEK 0 OTHER <br /> CONTACT PERSON <br /> SPECIAL HANDLING PROCEDURES: <br /> SIG'N'AT�UREjOF AUTHORIZED AGENT/TITLE DATE <br /> GENERATOR'S CERTIFICATION:I hereby certify thatnamed material is not a hazardous <br /> waste as defined by 40 CFR Part 261 or tide 22 of the Ia cafe of regulations,has been properly <br /> desodbed,classified and packaged,and is in proper. for transportation wording to applicable <br /> regulations;AND,It the waste is a tmalmed resid of a praviously restricted hazardous waste <br /> a ect b the land Disposal Restrictions,I certify Mid warrant that the waste has been treated in RECEIVING FACILITY <br /> accordance with the requirements of 40 CFR Part 266 and is no larger a hazardous waste as defined by <br /> 40 CFR Part 261. <br /> WASTE TYPE: <br /> O DISPOSAL 0 SLUDGE . <br /> O CONSTRUCTION 0 WOOD <br /> 0 DEBRIS 0 OTHER <br /> 0 SPECIAL WASTE <br /> GENERATING FACILITY <br /> 7 EL #32262 2360 GR TRACYGA. <br /> TRANSPORTER NOTES: VEHICLE LICENSE NUMBER TRUCK NUMBER <br /> TIM A ANLEY TRUCKING, INC. j, <br /> ADDRESS /t <br /> 9151 GERBER ROAD <br /> CITY,STATE,ZIP <br /> SACRAMENTO,CA 95829 <br /> PHONE END DUMP BOTTOM DUMP TRANS>ER <br /> 916-689- ❑ U Ell- <br /> SIGNATURE OF AUTHORIZER 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 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 /> REMARKS Q SOIL <br /> 0 CONSTRUCTION <br /> FACILITY TICKET NUMBER J DEBRIS <br /> U NON-FRIABLE <br /> ASBESTOS <br /> SIGNATURE OF AUTHORIZED AGENT I ATE <br /> 0 WOOD <br /> U ASH <br /> O SPECIAL OTHER <br /> SCHEDUUN MUST BE MADE PRIORTO3:00 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 THE DAY BEFORE. <br /> TRANSPORTER COPY MANIFEST#226 43 <br />