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[] Keller Canyon u VA IVIVU11taele <br /> Sanitary Landfill Sanitary Landfill Sanitary Landfill Landfill <br /> 12310 Mateo Road 1601 Dixon Landioad 9999 S.Austin Road <br /> 901 Bailey Road Milpitas,CA 9503 Manteca,CA 95336 <br /> Pittsburg,CA 94565 Half M Bay,CA 94019 P Phone(408) 8 Phone(209)982-4298 <br /> Phone(9°25)458-9800 Phone(650)726-1819 Fax(408)262-2871 Fax(209)982-1009 <br /> Fax(925)458-9891 Fax(650)726-9183 <br /> NON-HAZARDOUS WASTE MANIFEST <br /> GENERATOR WASTE ACCEPTANCE NO. <br /> 7 ELEVEN 4CK- <br /> DDRESS '— <br /> P.O.BOX 711 REQUIRED PERS NAL PROTECTIVE EQUIPMENT <br /> CITY,STATE,ZIP <br /> DALLAS TX.75221-07'11 O GLOVES O GOGGLES ❑RESPIRATOR O HARD HAT <br /> PHONE O TY VEK O OTHER <br /> CONTACT PERSON SPECIAL HANDLING PROCEDURES: <br /> Y <br /> SIGNATURE OF AUTHORIZED AGENT/TITLE DATE <br /> QEPIERATOR'S CER1'IFICAn6k I hereby certify that Me a named material is not a hazardous <br /> waste as defined by 40 CFR Part 281 or fide 22 of the Califf is code of re® I been p ort <br /> moble <br /> classified and packaged,and is in proper for transportation <br /> ng apps <br /> •AN%If dte welts Is a treatment residue of a previously restricted hazardous waste RECEIVING FACILITY <br /> tofire Lend Disposal Restdclions,I certify and warrant that the waste has been treated in <br /> accordance with the requirements of 40 CFR Part 288 and is no longer a hazardous waste as defined by <br /> 40 CFR Part 281. <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 /> 116 <br /> TRANSPORTER NOTES: VEHICLE LICENSE NUMBER TRUCK NUMBER <br /> ADDRESS ` <br /> 9151 GERBER ROAD <br /> CITY,STATE,ZIP <br /> SACRAMENTO CA 95829 END DUMP BOTTOM DUMP TRANSFER <br /> PHONE <br /> 916-689-4464 <br /> SIGNATURE OF HORIZED A ENT OR DRIVER DATE ROLL-OFFS FLAT-BED VAIN DRUMS <br /> CUBIC YARDS 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 /> O SOIL <br /> EMARKS ' 4= , O CONSTRUCTION <br /> DEBRIS <br /> FACILITY TICKET NUMBER I ` O NON-FRIABLE <br /> ASBESTOS <br /> SIGNATUREOF AUTHORIZED AGENT p AT p WOOD <br /> b <br /> O ASH <br /> 4 �4 O SPECIAL OTHER <br /> LAD <br /> ARE SU13JECT <br /> SCHEDULING MUST BE MADE PRIOR 3. M.THE DAY Pi�IORTo EXPE SCHEDULED WITH THENSCRIVAL'ANY UHLANDF®L®HES DAY BEFORE. <br /> TO REFUSAL UPON ARRIVAL. ON DAILY DELIVERIES MUST B �r;MANIFEST# '228 <br /> 352 <br /> TRANSPORTER COPY . <br />