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] Keller a won F1Ox Mountain El Newby Island Forward <br /> iaiz` E <br /> Sanitat ��IndfilI 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 i <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 <br /> NON-HAZARDOUS WASTE MANIFEST I <br /> :NERATOR WASTE ACCEPTANCE NO. <br /> Pac;ic Gas ° �;�,cu 4 <br /> ULING ADDRESS <br /> 77 Reale Street It 7v 7— <br /> rY, STATE,ZIP REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> San Francisco CA 94120 U GLOVES U GOGGLES O RESPIRATOR O HARD HAT <br /> IONE <br /> .973-3:Z-73 ❑TY-VEK U OTHER <br /> )NT CT 15ERSON <br /> SPECIAL HANDLING PROCEDURES: <br /> Robert Grray <br /> 3NAT OF ALJTHOfMED AGENT/TITLE DATE <br /> A7>thorized AAeat for <br /> Pacific Ow&Flt trio ............ U tr <br /> WT__.. <br /> 1,4u>lery <br /> ENERATOR'S CERTIFICATION:I hereby certify that the above named material is not a h ardour <br /> isle as defined by 40 CFR Part 261 or title 22 of the Califomia code of regulations,has been properly <br /> rscdbed,classified and packaged,and is in proper condition for transportation a-cording to applicable <br /> gulatio, AND,If the waste Is a treatment residue of a previously restricted hazardous waste <br /> �bied to the Land Disposal Restrictions,I certify and warrant that the waste has been treated in RECEIVING FACILITY <br /> oordance w th the requirements of 40 CFR Part 268 and is no logger a hazardous waste as defined by <br /> I CFR Part261. <br /> E TYPE` <br /> DISPOSAL O SLUDGE <br /> ONSTRUCTION U WOOD <br /> U DEBRIS U OTHER <br /> O SPECIAL WASTE <br /> :NERATING FACILITY <br /> `f homion Duhydrdior nomivn <br /> IA,,SPORTER NOTES: VEHICLE LICENS*NUMBER TRUCK NUMBER j R 1i lk 1 <br /> t)cnBeste �TRnsqportahon <br /> (DRESS <br /> e> estc 0- <br /> 17'Y, <br /> rY, STATE,ZIP <br /> %Wsor, CA 95492 <br /> IONE END DUMP BOTTOM DUMP TRANFERI <br /> RI - d ❑ ❑ <br /> 3NA'TqOE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN RUMS <br /> / - d 4 <br /> I sot <br /> CUBIC YARDS <br /> her certify that the above named material has been <br /> 9cce t d and to the best of my knowledge the foregoing DISPOSAL METHOD: (TO BE COMPLETED BY LANDFILL) f <br /> is true and accurate. { <br /> DISPOSE OTHER <br /> U SOIL <br /> :MARKS f <br /> U CONSTRUCTION !• <br /> CILITY TICKET NUMBER DEBRIS <br /> U NON-FRIABLE <br /> 'NATURE OF AUTHORIZED AGENT DATE ASBESTOS I P u <br /> U WOOD 1 <br /> U ASH <br /> I <br /> U SPECIAL OTHER <br /> WILING MUST BE MADE PRIORTO 3:00 P.M.THE DAY PRIORTO EXPECTED ARRIVAL a 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 it <br /> 341970. <br />