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J Keller Canyon ❑ Ox Mountain ❑ Newby Island Forward <br /> Sanikf Landfill Sanitary Landfill Sanitary Landfill Landfill . #0 <br /> 901 Bailey Road 12310 San Mateo Road 1601 Dixon Landing Road 9999 S.Austin Road ; X 1 <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 1 <br /> F- '925)458-9891 Fax(650)726-9183 Fax(408) 262-2871 Fax(209)982-1009 <br /> NON-HAZARDOUS WASTE MANIFEST <br /> :NERATOR WASTE ACCEPTANCE NO. <br /> 'n ,:�,. f1_1 19, is11— <br /> i avuty `naa w,x. i:tvv at is I <br /> ULING ADDRESS <br /> A nAn— <br /> 77 Reale Street Mail Code B24A `*7v' <br /> rY, STATE, ZIP REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> 'an Fntc_5__ CA 94.17.0 U GLOVES LI GOGGLES U RESPIRATOR O HARD HAT ' <br /> ZONE p� I <br /> U TY-VEK U OTHER I aftFf <br /> _ I <br /> )N O <br /> SPECIAL HANDLING PROCEDURES: <br /> Robert Gr­ <br /> _'NATUR OFA H (ZED AGENT/TITLE DATE <br /> I <br /> Awrthorized Agettf For <br /> Pacific &Liectric <br /> None <br /> ENERATOR'S CERTIFICATION:I hereby certify that the above named material is not a hazardous <br /> rite as defined by 40 CFR Part 261 or title 22 of the California code of regulations,has been properly <br /> isaibed,classified and packaged,and is in proper condition for transportation a-cording to applicable <br /> pylatioris;AND,If the waste Is a treatment residue of a previously restricted he rdous waste <br /> 9* to the land Disposal Restrictions,I certify and warrant that the waste has been treated in RECEIVING FACILITY <br /> ..'dame with the requirements of 40 CFR Part 268 and is no longer a hazardous waste as defined by <br /> t CFR Part 261. <br /> kSTE TYPE: If/t1 <br /> �iLQISPOSAL U SLUDGE $ <br /> O CONSTRUCTION U WOOD <br /> O DEBRIS O OTHER <br /> O SPECIAL WASTE I <br /> :NERATING FACILITY <br /> km I3ehydraf or 1-hu tun <br /> IF I <br /> IAt._.O _TER NOTES: VEHICLE LICENSE NUMBER TRUCK NUMBER <br /> T7eriB—cete T=mportation y <br /> (DRESS <br /> 82.0 IlonBo5te-Cir.. <br /> rY,STATE,ZIP <br /> Windsor C-A 9i49-2, <br /> r glltC <br /> IONE END DUMP BOTTOM DUMP TRANSFER i A's Itt <br /> r <br /> 34A RIZED AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BE❑D VAN DRUMS <br /> ❑ ❑ ❑ ❑ <br /> CUBIC YARDS <br /> 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 b ft g t <br /> U SOIL <br /> :MARKS <br /> U CONSTRUCTION <br /> CILITY TICKET NUMBER DEBRIS <br /> U NON-FRIABLE <br /> ASBESTOS <br /> _'NPT'IRE OF AUTHORIZED AGENT DATE <br /> U WOOD j <br /> U ASH <br /> I <br /> U SPECIAL OTHER <br /> DUUNG MUST BE MADE PRIORTO 3:00 P.M.THE DAY PRIORTO EXPECTED ARRIVAL*ANY UNSCHEDULED LOADS ARE SUBJECT <br /> :FUSAL.:UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> GENERATOR COPY MANIFEST# -4 4 j qRq <br />