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Keller Ca n p Ox Mountain El Newby Island Forward <br /> Sanitara/ L�dtlll Sanitary Landfill Sanitary Landfill andfill <br /> 901 Bailey-Road 12310 San Mateo Road 1601 Dixon Landing Road 9999 S.Austin Road <br /> Pittsburg,CA 04.565 Half Moon Bay,CA 94019 Milpitas,CA 95035 -Manteca,CA 95336 j <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 ll <br /> NON-HAZARDOUS WASTE MANIFEST i <br /> :NERATOR WASTE ACCEPTANCE NO. i1 'r <br /> Pacific bias��l�,ctriu <br /> JLING ADDRESS <br /> 77 Reale Suet Mafl Code B24A 4 09— <br /> IY,STATE,ZIP REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> San Francisco, CA 9417.0 <br /> ZONE U GLOVES U GOGGLES O RESPIRATOR U HARD HAT <br /> (415 1 73-37-71- O TY VEK U OTHER <br /> INT CT PERSON j <br /> SPECIAL HANDLING PROCEDURES: <br /> MATURE OF A THOFJIZED.AGENT/TITLE DATE <br /> J •itxtl Agrd for / <br /> Electric <br /> iii: III <br /> -NERATOR'S CERTIFICATION:I hereby certify that the above named material is not a hazardous <br /> rste as defined by 40 CFR Part 261 or bile 22 of the Cal fornia code of regulations,has been property <br /> scribed,classified and packaged,and is in proper condition for transportation a-cording to applicable <br /> julations;AND,If the waste Is a treatment residue of a previously restricted:hazardous waste <br /> biect to the Land Disposal Restrictions,I certify and warrant that the waste has been treated in RECEIVING FACILITY <br /> oordance with the requirements of 40 CFR Part 268 and is no longer a hazardous waste as defined by i <br /> CFR Part 261. 11 <br /> 1STE TYPE: <br /> ISPOSAL O SLUDGE <br /> 'UNSTRUCTION U WOOD <br /> U DEBRIS U OTHER <br /> O SPECIAL WASTE <br /> E. <br /> :NERATING FACILITY I <br /> i nvrxtlt+c►ai i-jonyurrawr In(imion ) <br /> All <br /> 01 0ORTER 'NOTES: 'VEHIC E LICENSE NUMBER TRUCK NUMBER <br /> nBeste T ramportab.011 ' <br /> DRESS <br /> _en-este _.±. <br /> fY,STATE,ZIP <br /> M%dsm CA 9549 t <br /> ONE END-DUMP BOTTOM DUMP TRANSFER <br /> (7(171 1 ,.1 1 <br /> -NATURE OF HO IZED AGENT OR DRIVER DATEROLL-OFF S) 'FLATBED VAN `DRUMS` <br /> LI <br /> CUBIC <br /> 1` <br /> %r CUBIC YARDS Iei � <br /> I - <br /> 1 hereby certify that the above named material has been <br /> accepted and to the best of my knowledge the foregoing <br /> is true and accurate. DISPOSAL METHOD: (TO BE COMPLETED BY LANDFILL) <br /> j <br /> DISPOSE OTHER <br /> I <br /> MARKS, <br /> U SOIL - ' <br /> ,,. <br /> U CONSTRUCTION <br /> GILITY TICKET NUMBER DEBRIS { <br /> U NON-FRIABLE ( <br /> ASBESTOS I . <br /> 'XNATURE OF AUTHORIZED,AGENT DATE <br /> U WOOD <br /> ASH <br /> U SPECIAL OTHER <br /> )ULIOG MU : MADE PRIOR To 3:601P M.THE DAY PRIOR TO EXPECTED ARRIVAL•ANY UNSCHEDULED LOADS ARE SUBJ CT <br /> :FU$AL UP0FnVAL. ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> t, e , <br /> r a 9ENERATOR COPY <br /> MANIFEST# 341991,62I : , <br />