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U Kellercanyon U VX M®Ungatn LJ wewuy ®walla u rutrviralW <br /> Sanitary Landfill Sa ary Landfill Sanitary La dfill Landfill <br /> 901 Bailey Road 123 n Mateo Road 1601 Dixon La Road 9999 S.Austin Road <br /> Pittsburg,CA 94565 Half R156n Bay,CA 94019 Milpitas,CA 95 Manteca,CA 95336 <br /> Phone(925)458-9800 Phone(650)726-1819 Phone(408)945-2800 Phone(209)982-4298 <br /> Fax(925j 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 TX.75221-0711 O GLOVES O GOGGLES O RESPIRATOR O HARD HAT <br /> PHONE <br /> 208-429-8466 O TY VEK O OTHER <br /> CONTACT PERSON SPECIAL HANDLING PROCEDURES: <br /> JAFF AUGHTERIONIEITIM MANLEY AS AGENT <br /> SIGNATURE OF 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 tltle 22 of the Dmfs code of regulations,has been property <br /> desodbed,classified and packaged,and is in proper for transportation a,cording to applicable <br /> regulations;AND,H the waste Is a treatment residue of a previously restricted hazardous waste <br /> subject to the Lard Disposal Restrictions,1 certify and warrant that the waste has been treated in RECEIVING FACILITY <br /> acomlance with the requirements of 40 CFR Part 266 ands 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 /> TRANSPORTER NOTES: VEHICLE LICENSE NUMBER TRUCK NUMBER <br /> I IM 7K MANLEY 1 <br /> ADDRESS <br /> 9151 GERBER ROAD <br /> CITY,STATE,ZIP � �� _ <br /> SACRAMENTO.CA 95829 <br /> PHONE END DjWP BOTTOM DUMP TRANSFER <br /> 9 <br /> SI ATURE O UTHORIZED AGENT OR DRIVER DATE R -O F S FLAT-BED VAN DRUMS <br /> - alb 03 <br /> CUBIC YARDS <br /> its y ARDS <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 /> REMARKS <br /> O CONSTRUCTION <br /> FACILITY TICKET NUMBER DEBRIS <br /> O NON-FRIABLE <br /> ASBESTOS <br /> SIGNATURE OF AUTHORIZED AGENT D <br /> a� WOOD <br /> O ASH <br /> r' O SPECIAL OTHER <br /> SCHEDULING MUST BE MADE PRIORTO 3:00 P.M.THE DAY P OR EXPECTED ARRIVAL*ANY UNSCHEDULED LOADS ARE SUBJECT <br /> TO REFUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE A,1( BEFORE. <br /> TRANSP ITER COPY MANIFEST#�L,� �4 <br />