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❑ Keller Canyon U vx mountain Li newoy ,s'ana u F-V'Wall u <br /> Sanitary Landfill Saq&ry Landfill Sanitary Lfill Landfill <br /> 901 Bailey Road 1231Mn Mateo Road 1601 Dixon La Road 9999 S.Austin Road <br /> PittsbUrg,.CA 94565 Half oon Bay,CA 94019 Milpitas,CA 950 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 /> 111111EMAILINGADDRESS3406 <br /> P.Q.BOX 711 <br /> CITY,STATE,ZIP REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> DALLAS TX.75221-0711 O GLOVES O GOGGLES O RESPIRATOR O HARD HAT <br /> PHONE <br /> O TY VEK O OTHER <br /> CONTACT PERSON SPECIAL HANDLING PROCEDURES: <br /> SIGNATURa OF AUTHORIZED AGENT/TITLE DATE <br /> r <br /> GENERATOR'S CERTIFICATION:I hereby certify that the anted material Is not a hazardous <br /> waste as defined by 40 CFR Part 261 or title 22 of the Califo code of regulations,has been Properly <br /> classified and packaged.and is in proper oonditfor transportafion a-.corcfing to applicable <br /> regulatlare;AND,N the waste Is a treatment residue of a pmvlouey restricted hazardous waste <br /> subject to the Land Disposal Restrofions.I certify and warrant that the waste has been treated in RECEIVING FACILITY <br /> accordance with 0o 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 /> ELEVEN 2262 2360 GRANTLINE RD TRACY CA . <br /> TRANSPORTER NOTES: VEHICLE LICENSE NUMBER TRUCK NUMBER <br /> TIM A MANLEY TRUCKING,INC. ? 0 <br /> ADDRESS <br /> 9151 GERBER ROAD / -'-3 9/ <br /> CITY,STATE;ZIP <br /> SACRAMENTO CA 95829 <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> SIG 91 -AUTHORIZED AGENT OR DRIVER DATE RO F(S) FLAT-BED VAN DRUMS <br /> •. <br /> CUBIC YARDS <br /> 18 YARDS <br /> 1 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 /> 1"OtOlL <br /> REMARKS <br /> If O CONSTRUCTION <br /> FACILITY TICKET NUMBERDEBRIS <br /> r O NON-FRIABLE <br /> ASBESTOS <br /> SIGNATURE OF AUTHORIZED AGENT XVDA <br /> f O WOOD <br /> O ASH <br /> 0 SPECIAL OTHER <br /> SCHEDULING MUST BE MADE PRIOR 3:00 P.M.THE DAY PRIORTO EXPECTED ARRIVAL a ANY UNSCHEDULED LOADS ARE SUBJECT <br /> TO REFUSAL UPON ARRIVAL. ON OING DAILY DELIVERIES MUST BE SCHEDULED.WITH THE LANDFILL THE DAY BEFORE. <br /> TR . PORTER COPY MANIFEST <br /> #226347 <br />