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Sahliary Landfill Sanitary Landfill Sanitary Landfill landfill <br /> i n <br /> SOt Bailey Road 42310 Sar Mateo Road 'I6U, D xo Landing�d g Road 9 <br /> 999 S.Austir;cad <br /> Pittsburg,CA 94565 Half Moon Say,CA 94019 141ilpitas,'CA 95fl35 Manteca,CA 93336 <br /> Phone(925)45&9840 Phone(6')0) 726-1819 Phone(408)945-2800 Phone(209)962-4298 <br /> Fu{925)458-9891 Fsx(650) 726-9183 Fax(408)262-2871 Fax(209)992-1009 <br /> NON HAZARDOUS WASTE MANIFEST <br /> GENERATOR WASTE ACCEPTANCE NO. <br /> MAILING ADDIRM _ f r + -i•,-^ <br /> k + a r �` <br /> CITY STATE ZIP REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> Ic ury C5 ❑GLC'/GS O GOGGLES ZI RESPIRATOR �a BARD HAT <br /> ON f� r <br /> 5 ❑TY-VEK a OTHER <br /> CONTACT PERSON n <br /> +r , PBc,1;4 HANDLING P'ROCED'URES: <br /> IGNATUREOFAUTHORIZED AGENT/TITLE DATE <br /> Z±1 -C on L r a.a t o <br /> aENeMM$m cMW.Avam I hereby emoN thw tM aW-a named memria7 is not o hazamm <br /> veelEe es6fi�ye! 40cr4Pert Chi aft.=ofthe CafHomte ooda Of mviavons,hee Dean Gropfrly <br /> dlarcebYd.CliAee311eC-4 04*2 00.am fe in prom d:+nE w for erehep�&fAtkr,a`CcrdlrtQ to epplicacla <br /> - _ _ Ae3q.R.lfie.vre+ar,l4�brrbrteres re677Yes1,b:P+e'rtausi�= efrecleA+ritraaw+iriKF�a " s--t-r-'» - - <br /> "es Wa to e-L.snG D+epasei'Reevf ecr .i p![etly ud warrantUtet 3lse Nrfr�[e nay-ttaen':17;lekEtt its R E�`'i EI � Q�°A .L - - - <br /> a0cgdittLie WIlI1 tl5e taqulremerta Ot'dO GF3a PeA'1,dBe77yia rs•1011{�t.1-1t42eYCdLt�:tiV9.11e 2�d_�C.ftKCI-by <br /> WASTE TYPE: - - - <br /> Q DISPOSAL G]$Ll1DGE 9 .. A-us—.1 i Inc: <br /> U CONSTRUCTION p Wocb <br /> a DESAM O OTHER - <br /> O SPECIAL WASTE <br /> G A-nNG CIUTY - <br /> u r <br /> TRANSPORTER NOTES:''VEHICLE LICt=—N NilMF3E i 'TRUCK NVMBEq <br /> ADD <br /> an7 77 <br /> CI ,P.D.ATE,ZIP <br /> PHONE ENI.)DUMP BOTTOM DUMP TRANSFER <br />` (209) 368-617 ) <br /> ip <br /> f $1GRE AUTHORIZED A <br /> G& DF�)V r'1- r. i DAT ROLL-OFF S' FLAT-BED VAN DRIJtigS <br /> Iij ;M <br /> r —: CUBIC YARDS _ <br /> I hereby certify that the above named material has been <br /> GCOWed and th the bee#-ot my knowledge the foregoing 0I8gCSaL raE xpo; (T4 BE COfvtFtEti=D BY LANDFILL) <br /> Is true and accurate. <br /> DISPOSE OTHER <br /> REMARKS Q SOIL <br /> O CONSTRuC-nopI <br /> FACILITY TICKET NUMBER NON-F <br /> O NON•F131Ai3LE <br /> SIGNg11JRE 0 AUTI40Pi?7--,n AGENT DATE ASSESTCS <br /> ��- ci WOOD <br /> G ASH <br /> G SPECIAL OTHER <br /> SCHEDULING MUST BE.F4ADE PRI.ORT0.3.00 P.M.THE dAY PR OATO 0PECTED ARRIVAL*ANY UNSCHEDULED LOADS ARE SUBJECT <br /> TO REFUSAL UPON ARRIVAL. CNG01NG DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE bAY BEFORE. <br /> GENERATOR COPY MANIFEST# ^ Y Std�7 fed <br /> �d 6dE :TT GoDz t•- DDr 6 E T: 'OIu -7110 E660Hl blI�: IJOdJ <br />