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u ••wilwit, val,1ywiit ,.,.. tJ vA t>ituuniaui u Newoy rstana rorWard <br /> Sanitary 16ndfill 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 /> I SILL" �.. Gas LC lillaril..l�+ <br /> MAILING ADDRESS <br /> 77 ..�d,� 1' n— <br /> C1TY, STATE,ZIP: REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> ;an Fryna';srn CA 941O 0 GLOVES 0 GOGGLES 0 RESPIRATOR 0 HARD HAT <br /> PHONE <br /> 0 TY-VEK O OTHER <br /> CONT CT ERSDN <br /> SPECIAL HANDLING PROCEDURES: <br /> SIGNATURE OF AUTHORIZED AGENT/TITLE DATE <br /> %� f7 (1 7 A lth(mizcd Agmt f6r <br /> T.-��k0CjIC(.iy9&jiit(`[ll c: .........._. <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 /> described,classified and packaged,and is In proper condition for transportation a-mcling to ap ak-able <br /> regulations;AND,If the waste Is a treatment residue of a previously restrkted hazardous waste <br /> subiect 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 Pan 261. <br /> WAST]i TYPE: <br /> DISPOSAL O SLUDGE <br /> 0 CONSTRUCTION 0 WOOD <br /> O DEBRIS O OTHER <br /> U SPECIAL WASTE <br /> GENERATING FACILITY <br /> Thunitun Ecu yuratur 1�iuniturt <br /> TRANSPORTER NOTES: VEHICLE LICENSE NUMBER TRUCK NUMBER <br /> enbestc transportation <br /> ADDRESS <br /> CITY, STATE,ZIP <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> (707)R19_1107 ❑ ❑ <br /> SIGNATURE F AUTHORIZED AGENT OR DRIVER DATE, ROLL-OFFS 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: (f0 BE COMPLETED BY LANDFILL) <br /> Is true and accurate. <br /> DISPOSE OT-KER <br /> REMARKS O SOIL <br /> 0 CONSTRUCTION <br /> FACILITY TICKET NUMBER DEBRIS <br /> 0 NON-FRIABLE <br /> SIGNATURE OF AUTHORIZED AGENT DATE ASBESTOS <br /> 0 WOOD <br /> O ASH <br /> U SPECIAL OTHER <br /> SCHEDULING MUST BE MADE PRIORTO 3:00 P.M.THE DAY PRIORTO EXPECTED ARRIVAL-ANY UNSCHEDULED LOADSARE SUBJECT <br /> TO REFUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> r% A A n A A <br />