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LJ fXCI1C6sLdt{yV11I LJ tJA Iwuunlain U Newey Islana rorwarci <br /> Sanitary Landfill 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 /> MAILING ADDRESS - <br /> 7 Relle 14 A At ��7 <br /> CITY,STATE,ZIP REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> fan fir tvtr'tar'n ('.A t)41'J.0 Q GLOVES Q GOGGLES Q RESPIRATOR Q HARD HAT <br /> PHONE <br /> Q TY-VEK Q OTHER <br /> CON 0 ` <br /> SPECIAL HANDLING PROCEDURES: <br /> SIGN O A THORIZED AGENT/TITLE DATE <br /> r'1 At>thm zed Agmit for <br /> Pacific Gas&E.leciric <br /> ` * n V U_ 1 T __i_— ___- J " n /;4 ......- <br /> GENERA 'S CERTIFICATION:I hereby certify that the above named material is not a hazardous None <br /> waste as defined by 40 CFR Part 261 or 6tfe 22 of the California code of ragulations,has been property <br /> described,dass;fied and packaged,and is in proper condition for transportation a cording to applicable <br /> regulations;AND,It the waste Is s 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 268 and is no longer a hazardous waste as defined b1 <br /> 40 CFR Part 261. <br /> WASTE TYPE: <br /> DISPOSAL Q SLUDGE <br /> Q CONSTRUCTION Cl WOOD <br /> O DEBRIS Q OTHER <br /> Q SPECIAL WASTE <br /> GENERATING FACILITY <br /> Thm-nion iae[zydraWT luntioll <br /> .� TRANSPORTER NOTES: VEHICLE LICENSE NUMBER TRUCK NUMBER <br /> E)enBcste Transportation <br /> ADDRESS �: L -7 62 <br /> 820 Dm. ". te. 0- <br /> CITY,STATE,ZIP <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> SIGNA7URE-OFAUTHORIZED AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN D UMS <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 /> REMARKS Q SOIL <br /> Q CONSTRUCTION <br /> FACILITY TICKET NUMBER DEBRIS <br /> Q NON-FRIABLE <br /> ASBESTOS <br /> SIGNATURE OF AUTHORIZED AGENT DATE <br /> Q WOOD <br /> ❑ASH <br /> Q SPECIAL OTHER <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 /> _ -- —-— <br /> 01 A 7 n-f h <br />