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LJ r%elita'%.rdllyUrl : u vx ivwuntain u Newoy islana I t-orwara <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 /> J�GE�NERATOR WASTE ACCEPTANCE NO. <br /> A.l.�Lt1 <br /> MAILING ADDRESS <br /> t nnft— <br /> CITY, STATE,ZIP REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> Sin Fn .i_c.o ('.A 941-20 Ci GLOVES 1- GOGGLES 0 RESPIRATOR -a-HARD HAT <br /> PHONE <br /> ❑TY-VEK CIOTHER <br /> CONT C N AN <br /> SPECIAL HANDLING PROCEDURES: <br /> SIGNATIJE3E OF AUTHORIZED AGENT/TITLE DATE <br /> xizcit Agcot for <br /> chic Cas&Ettctri: /,r .............. <br /> GENERATOR'S CERTIFICATION:I hereby certify that the above nand material is not a hazardous ' 1`tTUftS� <br /> waste as defined by 40 CFR Part 261 or title 22 of the California code of regulations,has been property <br /> described,classified and packaged,and is in proper condition for transportation a-cording to applicable <br /> regutatias;ANCI,it the waste Is■treatment residue of■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 by <br /> 40 CFR Part 261, <br /> WAS TYPE: <br /> /YIPISPOSAL D SLUDGE <br /> O CONSTRUCTION O WOOD <br /> O DEBRIS 0 OTHER <br /> O SPECIAL WASTE <br /> GENERATING FACILITY <br /> - I7 union Dt1ydrAkm i namtun <br /> TR7entieste1ransviortation <br /> ORTER NOTES: VEHICLE LICENSE NUMBER TRUCK NUMBER <br /> ADDRESS <br /> CITY, STATE,ZIP �- <br /> 9S <br /> PHONE END DUMP BOTTOM DUMP TRA NSF R <br /> ❑ ❑ <br /> SIGN RIZED AGE1`4T OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN D UMS <br /> � ❑ ❑ O D <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: (f0 BE COMPLETED BY LANDFILL) <br /> Is true and accurate. <br /> DISPOSE OTHER <br /> EMARKS 0 SOIL <br /> 0 CONSTRUCTION <br /> FACILITY TICKET NUMBER DEBRIS <br /> 0 NON-FRIABLE <br /> ASBESTOS <br /> SIGNATURE OF AUTHORIZED AGENT DATE <br /> 0 WOOD <br /> 0 ASH <br /> O SPECIAL OTHER <br /> SCHEDULING MUST BE MADE PRIORTO 3:04 P.M.THE DAY PRIOR TO 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 /> A A nn^ <br />