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] anyon F] Ox Mountain El Newby Island Forward <br /> S lit taty Landfill Sanitary Landfill Sanitary Landfill -.-TLandfill It l <br /> 901 Bailey Road 12310 San Mateo Road 1601 Dixon Landing Road 9999 S.Austin Road 1001 <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 /> FAY(925)458-9891 Fax(650) 726-9183 Fax(408)262-2871 Fax(209)982-1009 <br /> I <br /> NON-HAZARDOUS WASTE MANIFEST <br /> :NERATOR WASTE ACCEPTANCE NO. <br /> Pacific Oras&lcctric <br /> I <br /> ULING ADDRESS <br /> 77 BeMe Street Mafl Code B24A _* a <br /> rY STATE,ZIP REQUIRED PERSONAL PROTECTIVE EQUIPMENT I <br /> San Fran6,- fi CA 94120 <br /> IONE 0 GLOVES GJ-GOGGLES O RESPIRATOR CARD HAT <br /> -- ❑TY-VEK O OTHER I >) t <br /> )N O i i6 <br /> SPECIAL HANDLING PROCEDURES: <br /> 3NATUR F AUTHORIZED AGENT/TITLE DATE <br /> zed Agett for i <br /> P i5c Gas&Elecla'ic <br /> ,// <br /> _ <br /> J <br /> �It)lilaL� , <br /> ENERATOR'S CERTIFICATION:I hereby certify that the above named material is not a hazardous <br /> isle as defined by 40 CFR Part 261 or title 22 of the California code of regulations,has been properly <br /> mcribed,classified and packaged,and is in proper condition for transportation a-cording to applicable <br /> gulations;AND,if the waste Is a treatment residue of a previously restricted hazardous waste <br /> kfect to the Land Disposal Restrictions,I certify and warrant that the waste has been treated in RECEIVING FACILITY <br /> )cordance with the requirements of 40 CFR Parl 266 and is no longer a hazardous waste as defined by <br /> 1 CFR Part 261. - <br /> aSTE TYPE: ? f <br /> DISPOSAL O SLUDGE 4 <br /> ❑ ONSTRUCTION ❑WOOD <br /> ❑DEBRIS ❑OTHER <br /> ❑SPECIAL WASTE <br /> i <br /> :NERATING FACILITY <br /> Afti'mix TiteJinivn <br /> IAI ORTER NOTES: VEHICLE LICENSE NUMBER TRUCK NUMBER <br /> to - ransportatron 5� <br /> )DRESS <br /> _ <br /> rY,STATE,ZIP <br /> Windsor ti <br /> IONE END DUMP BOTTOM DUMP TRANSFER j Ifllpl <br /> 3NATURE OF AU I DT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS I <br /> ❑ ❑ ❑ ❑ 1 <br /> �r <br /> CUBIC YARDS <br /> I hereby certify that the above named material has been i <br /> accepted and to the best of my knowledge the foregoing <br /> DISPOSAL METHOD: (TO BE COMPLETED BY LANDFILL) <br /> Is true and accurate. <br /> } <br /> DISPOSE OTHER bII1F. l <br /> fr Owl <br /> MARKS ❑SOIL <br /> ❑CONSTRUCTION a� <br /> CILITY TICKET NUMBER DEBRIS <br /> ❑NON-FRIABLE <br /> ASBESTOS _ <br /> 'NATURE OF AUTHORIZED AGENT DATE <br /> ❑WOOD <br /> ❑ASH <br /> I <br /> O SPECIAL OTHER <br /> I, <br /> I <br /> )ULING MUST BE MADE PRIORTO 3:00 P.M.THE DAY PRIORTO EXPECTED ARRIVAL•ANY UNSCHEDULED LOADS ARE SUBJECT I It as I <br /> !FUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. I &g e► <br /> GENERATOR COPY MANIFEST N .141 q. R 7 <br />