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Keller Canyon ❑ Ox Mountain ❑ Newby Island Forward ' <br /> Sanitary LAi illl Sanitary Landfill Sanitary Landfill Landfill Sol <br /> 901 Bailey Road 12310 San Mateo Road 1601 Dixon Landing Road 9999 S.Austin Road 100*1 <br /> Piftsburg,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 /> F "925)458-9891 Fax(650)726-9183 Fax(408) 262-2871 Fax (209)982-1009 i <br /> NON-HAZARDOUS WASTE MANIFEST ' <br /> :NERATOR I • y, <br /> :'ac&ffic �,as� Elcc:�:c WASTE ACCEPTANCE N0. <br /> ULING ADDRESS <br /> 77 Beale Street 491 9— <br /> r-Y,STATE,ZIP REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> Sall T+tand—R[_[l CA 44174) U GLOVES U GOGGLES U RESPIRATOR O HARD HAT <br /> IONEi <br /> U TY-VEK O OTHER I lllllfl <br /> )NT CT ERSON <br /> SPECIAL HANDLING PROCEDURES: <br /> 3NATURE OF AUTHORIZED AGENT/TITLE DATE <br /> At>it nr,ad Aged for <br /> acific Electric // ` ............. J. <br /> 1�IlAFIC <br /> F1dERATOR'S CERTIFICATION:I hereby certify that the above named material is not a hazardous <br /> este as defined by 40 CFR Pan 261 or fitle 22 of the California code of regulations,has been property 1 <br /> mcribed,classifiedand packaged,and is in proper condition for transportation a-cording to applicable <br /> gulabons;AND,If t1Pc waste Is a treatment residue of a previously restricted hazardous waste <br /> rbiect to the Land Disposal Restrictions,I certify and warrant that the waste has been treated in RECEIVING FACILITY <br /> x:ordar'ce with the requirements of 40 CFR Pan 266 and is no longer a hazardous waste as defined by <br /> )CFR Pan 261. <br /> 4STE TYPE: <br /> ISPOSAL U SLUDGE Ai fi 1 <br /> 10 CONSTRUCTION U WOOD <br /> O DEBRIS U OTHER I <br /> 0 SPECIAL WASTE <br /> NERATING FACILITY <br /> I <br /> .)mkm LiahydraWr T humtott <br /> I <br /> (NrrjPORTER NOTES: VEHICLE LICENSE NUMBER TRUCK NUMBER <br /> este l ransportatton <br /> )DRESS <br /> K20_ _egtp <br /> TY,STATE,ZIP <br /> WindsM CA 95492 <br /> q#.i11 <br /> IONE END DUMP BOTTOM DUMP TRANS ER j Iftlf <br /> 17 <br /> (1 R R_1 107 ❑ ❑ JI <br /> 3NATUREOF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> ❑ ❑ ❑ ❑ <br /> CUBIC YARDS 1 <br /> I ' - <br /> 1 <br /> 1 hereby certify that the above named material has been <br /> accepted and to the best of my knowledge the foregoing DISPOSAL METHOD: <br /> Is true and accurate. (TO BE COMPLETED BY LANDFILL) I <br /> P <br /> DISPOSE OTHER .±1tI <br /> !!tffWr <br /> :MARKS U SOIL e <br /> U CONSTRUCTION I <br /> CILITY TICKET NUMBER DEBRIS <br /> U NON-FRIABLE <br /> ASBESTOS <br /> 3N ORE OF AUTHORIZED AGENT DATE <br /> U WOOD <br /> U ASH I = <br /> U SPECIAL OTHER <br /> I <br /> DULING MUST BE MADE PRIORTO 3;00 P.M.THE DAY PRIORTO EXPECTED ARRIVAL a ANY UNSCHEDULED LOADS ARE SUBJECT Dail `t <br /> :FUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. t� lkt <br /> GENERATOR COPY MANIFEST III 'I d 1 4 A q <br />