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❑,Kellen ,igryn ❑ Ox.Mountain El Newby Island Forward <br /> Sanitary Landolt` Sanitary Landfill Sanitary Landfill Landfill <br /> 901 Bailey Road 12310 San Mateo Road 1601 Dixon Landing Road 9999 S.Austin Road <br /> Pittsburg,CA 94565 Half Moon Bay,CA 94019 Milpitas,CA 95035 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 /> Pacific Gas &'Elcctelc <br /> MAILING ADDRESS _ <br /> 7 Beale Street Mail Code B24A A gvg <br /> CITY,STATE,ZIP REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> Smri Frarr c. CA 4412.0 O GLOVES U GOGGLES O RESPIRATOR O HARD HAT <br /> PHONE <br /> U TY-VEK U OTHER <br /> CON O <br /> SPECIAL HANDLING PROCEDURES: <br /> SIGNATURE OF AUTHORIZED AGENT/TITLE DATE <br /> Autltcxtd Agent for <br /> Pacific Gas&Electic ................. <br /> GENERATOR'S CERTIFICATION:I hereby certify that the above named material is not a hazardous- <br /> waste as defined try 40 CFR Part 261 or tide 22 of the Cafdomia code of regulations,has been property <br /> described,classified and packaged,and is in proper condition for transportation a,cording to applicable <br /> regulations;AND,it the waste Is a treatment residue of a previously restricted hazardous waste <br /> subject to the Land Disposal Restrictions,I certify and warrant that the waste has been treated in RECEIVING FACILITY <br /> accordance with the requirements of 40 CFR Part 266 and is no longer a hazardous waste as defined by <br /> 40 CFR Part 261. <br /> WA TYPE: <br /> ISPOSAL O SLUDGE <br /> U CONSTRUCTION O WOOD <br /> U DEBRIS O OTHER <br /> U SPECIAL WASTE <br /> GENERATING FACILITY <br /> Thomion I)cnydratur T hornion <br /> ANSPORTER NOTES: VEHICLE LICENSE NUMBER TRUCK NUMBER <br /> Oft TrdDspoftafion / —Y"/ <br /> ADDRESS �^ ��SS.. <br /> _ _e:fl este Ct. <br /> CIN,STATE,ZIP <br /> WindsK CA 95492 <br /> PHONE END DUMP BOTTOM DUMP `°TRANSFER <br /> ❑ ._. ❑ <br /> SIGN URE)CFAUTHORIZEDAAGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN Mugs: <br /> CUBIC 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 /> U <br /> REMARKS SOIL <br /> O CONSTRUCTION <br /> FACILITY TICKET NUMBER DEBRIS <br /> U NON-FRIABLE <br /> ASBESTOS <br /> SIGNATURE OF AUTHORIZED AGENT DATE <br /> U WOOD <br /> U ASH <br /> U SPECIAL OTHER <br /> NEW <br /> SCHEDULING MUST BE MADE PRIORTO 3:00 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 /> GENERATOR COPY MANIFEST# 341947 <br />