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Keller Canyon ❑ Ox Mountain El Newby Island Forward' <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 I <br /> I <br /> NON-HAZARDOUS WASTE MANIFEST d <br /> :NEI3ATOR WASTE ACCEPTANCE NO. <br /> 1 aciric CJS 9 & r-!l]Lfc <br /> I, <br /> 11LING ADDRESS A Qrin_ f <br /> Beale77 Street Mail (.,ode Xt <br /> FY, STATE ZIP REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> an _r rail(lsx_-l t_7_A_- - - 17.0 <br /> - <br /> CT �� <br /> IONE GLOVES 6eG'OGGLES ❑RESPIRATOR IJ-KARD HAT <br /> (415) 973-3773 0 TY-VEK 0 OTHER <br /> )NTACT PERSON i <br /> Robert .irav SPECIAL HANDLING PROCEDURES: <br /> 3NATURE OF AUTHORIZED AGENT/TITLE DATE I <br /> ' I? tfic Gas&El"(3ric <br /> � Q1 <br /> 1JERATOR'S CERTIFICATION: hereby certify that the above named material is not a hazardous <br /> tste as defined by 40 CFR Part 261 or Gtle 22 of the California code of regulations,has been properly <br /> acrbed,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 prevlousty restricted hazardous waste <br /> bject 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 Part 268 and is no longer a hazardous waste as defined by <br /> CF aA 261. l <br /> \STE'TYPE: <br /> DISPOSAL_ ❑SLUDGE I ' <br /> ❑'CONSTRUCTION ❑WOOD <br /> ❑DEBRIS ❑OTHER . <br /> ❑SPECIAL WASTE <br /> :NERATING FACILITY <br /> i`honitoil uc11ytira4or iiu�rnian <br /> W <br /> AV JBTER NOTES: VEW16LE LICENSE NUMBER TRUCK NUMBERoctitleste <br /> uuti <br /> I Itl f <br /> C. .. .. <br /> ,DR 94 <br /> 7Y,STATE,ZIP - / I ". <br /> I <br /> U). riff, CA 95492 .. <br /> ONEI <br /> END DUMP BOTTOM DUMP TRANSF R <br /> _ _. ❑ ❑ <br /> 'NATURE OFJTHORIZ E"GENTO R YRIVER DATE ROLL-OFF(S) FLAT-BED VAN D UMS <br /> 12 ❑ ❑ ❑ ❑ <br /> �Ira� <br /> CUBIC YARDS itt3 4€A <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 /> MARKS O SOIL <br /> ❑CONSTRUCTION r <br /> I <br /> -ILITY TICKET NUMBER DEBRIS <br /> ❑ NON-FRIABLE <br /> 'NATURE OF AUTHORIZED AGENT DATE ASBESTOS <br /> ❑WOOD <br /> ❑ASH '` <br /> ❑.SFECIAL OTHER <br /> WILING MUST BE MADE PRIOR TO 3:00 P.M.THE DAY PRIOR TO EXPECTED ARRIVAL*ANY UNSCHEDULED`LOADS ARE SUBJECT <br /> :FUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> GENERATOR COPY MANIFESTO 3 411 O <br />