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Keller Canyon El Ox Mountain El Newby Island r-vfc rd I <br /> Sanitary Landfill Sanitary Landfill Sanitary Landfill 'Landfill 1 <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 I . <br /> Fax(925)458-9891 Fax (650) 726-9183 Fax(408) 262-2871 Fax(209)982-1009 l <br /> NON-HAZARDOUS WASTE MANIFEST <br /> :NERATOR 1 <br /> ", Uk 4"--- WASTE ACCEPTANCE NO. �' g <br /> 1 0.v1J.1.1+ VA 4JG V�VVtJ14 <br /> tILING ADDRESS <br /> ,Ir�nn- <br /> 77 Beale Sti-eint <br /> rY, STATE,ZIP REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> 8-an Frartc,iac e CA 94.4170 U GLOVES U GOGGLES U RESPIRATOR U HARD HAT <br /> ONE <br /> 973-3773 O TY-VEK U OTHER <br /> INTACT F5ERSON <br /> SPECIAL HANDLING PROCEDURES: <br /> 3NAT RE OF AUTHORIZED AGENT/TITLE JDATE <br /> Audwrizcd Agent for / <br /> Pacific/3a9 ctttic /// Y q 3t p <br /> _Z4::Z_ 'T <br /> :NERATOR'S CERTIFICATION:I hereby certify that the above named material is not a hazardous 1rU[IC <br /> rste as defined by 40 CFR Part 261 or title 22 of the California code of regulations,has been property <br /> Imbed,classified and packaged,and is in proper condition for transportation a-cording to applicable <br /> lulatioru;AND,If the waste Is a treatment residue of a previously restricted hazardous waste <br /> bjbct to the land Disposal Restrictions,I certify,and warrant that the waste has been treated in RECEIVING FACILITY <br /> cadence with the requirements of 40 CFR Part 268 and is no longer a hazardous waste as defined by <br /> CFR Part 261. <br /> 1STE TYPE: <br /> DISPOSAL O SLUDGE <br /> ONSTRUCTION U WOOD <br /> O DEBRIS O OTHER <br /> O SPECIAL WASTE <br /> :NERATING FACILITY <br /> I <br /> Thornton IIx:hyctrakm Tbvzntun ���1 <br /> W <br /> Ai 'ORTER NOTES: VEHICLE LICENSE NUMBER TRUCK NUMBER <br /> Ulienlieste 13ranspoatattmn <br /> DRESS <br /> 970 D�n mute Ct. <br /> rY,ST ,ZIP <br /> O E END DUMP BOTTOM DUMP TRANSFER <br /> ❑ ❑ <br /> �NATUFXOFAUjHQRIZED AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> ❑ ❑ ❑ ❑ <br /> CUBIC YARDS e tr M <br /> i <br /> I reby certify that the above named material has been <br /> i epted and to the best of my knowledge the foregoing is true and accurate. DISPOSAL METHOD: (TO BE COMPLETED BY LANDFILL) <br /> DISPOSE OTHER ! `� <br /> MARKS U SOIL <br /> O CONSTRUCTION <br /> ;ILITY TICKET NUMBER DEBRIS <br /> O NON-FRIABLE <br /> ASBESTOS <br /> iNATURE OF AUTHORIZED AGENT DATE l <br /> U WOOD <br /> O ASH <br /> 0 SPECIAL OTHER <br /> %*G MUST BE MADE PRIORTO 3:00 P.M.THE DAY PRIOR TO EXPECTED ARRIVAL a ANY UNSCHEDULED LOADS ARE SUBJECT <br /> SAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE MDAY{BEFQRE. <br /> MANIFEST# 341.;6­_ <br /> GENERATOR COPY � , <br />