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u r%vnlus vat lyups , I WA tvtuut tiara t U I'AUVVUy iatat to L-y rur vvdl u <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 Halt Moon Bay, CA 94019 Milpitas, CA 95035 Manteca, CA 95336 <br /> Phone(925) 458-9800 Phone(650)726-1819 Phone (40B) 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 /> d <br /> 11ac,L.., Gras & FJcCU 10 <br /> u� x.a. <br /> MAILING ADDRESS <br /> 77 Bt-ale Street f rlr�n— <br /> r -r-7v7 <br /> CITY, STATE, ZIP REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> San Tara; vjsc.,f ( .A 941:?O O GLOVES 0 GOGGLES O RESPIRATOR 0 HARD HAT <br /> PHONE <br /> --- 0 TY-VEK 0 OTHER <br /> CONTAC O <br /> SPECIAL HANDLING PROCEDURES: <br /> SIGNATURE OF ALITHORIZED AGENT/TITLE DATE <br /> rbriborizcd AV-atfor <br /> y iytt�irr <br /> GENERATOR'S CERTIFICATION:I hereby certify that the above named material is not a hazardous <br /> waste as defined by 40 CFR Part 261 or title 22 of the California code of regulations,has been property <br /> descrbed,classified and packaged,and Is in proper condition for transportation a-cording to applicable <br /> regulations;AND,n the waste Is a 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 /> aocordance with the requirements of 40 CFR Pan 268 and is no tonger a hazardous waste as defined by <br /> 40 CFR Pan 261. <br /> WA TYPE: <br /> DISPOSAL 0 SLUDGE <br /> CONSTRUCTION 0 WOOD <br /> U DEBRIS 0 OTHER <br /> 0 SPECIAL WASTE <br /> GENERATING FACILITY <br /> '11ionitun Dollydrator 'I'itvnttur} <br /> TRANSPORTER NOTES: VEHICLE LICENSE NUMBER TRUCK NUMBER <br /> llenbeste IimWortation , <br /> ADDRESS / <br /> R70 1-)m Re.Lgfe 0t <br /> CITY,STATE,ZIP <br /> Wintignr � - <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> ❑ ❑ <br /> SIGN R RIZ GENT DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS <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 /> 0 SOIL <br /> EMARKS <br /> 0 CONSTRUCTION <br /> FACILITY TICKET NUMBER DEBRIS <br /> ❑NON-FRIABLE <br /> ASBESTOS <br /> SIGNATURE OF AUTHORIZED AGENT DATE <br /> 0 WOOD <br /> 0 ASH <br /> 0 SPECIAL OTHER <br /> SCHEDULING MUSTBE MADE PRIORTO3:00 RM.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 /> ---.. uAkucce-r Y 7 A 1 r)"70 <br />