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J Keller Canyon F-1OxMountain ❑ Island ,ForwardNewby <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 f <br /> Phone(925)458-9800 Phone(650)726-1819 Phone (408)945-2800 Phone(209)982-4298 1 <br /> Fax(925)458-9891 Fax(650)726-9183 Fax(408)262-2871 Fax(209)982-1009 <br /> NON-HAZARDOUS WASTE MANIFEST <br /> II�131 <br /> :NERATOR I111fi 1 <br /> �� Q. �,���- WASTE ACCEPTANCE N0. i <br /> I'�.c..c Gas & 11.!3JCX t�1., <br /> ►ILING ADDRESS <br /> 77 Reale ;tweet 4nnn- <br /> 7\/7 <br /> fY, STATE,ZIP REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> San Francisco CA 94120 <br /> ZONE (a-GLOVES 2 GOGGLES LlRESPIRATOR CHARD HAT ` <br /> ❑TY-VEK ❑OTHER <br /> )NT CT PERSON <br /> SPECIAL HANDLING PROCEDURES: <br /> aNATURE OF AUTHORIZED AGENT/TITLE DATE <br /> ALdxn-izcd Agent for <br /> ( Pacific Goo&blectric / / Its I <br /> !\ / -T_-_ <br /> 1�IUllf� I���r <br /> ENERATOR'S CERTI ATION: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 property <br /> embed,classified and packaged,and is in proper condition for transportation a-cording to applicable <br /> ;4wtio-; <br /> AND,It the waste Is a treatment residue of a previously 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 266 and is no longer a hazardous waste as defined by <br /> CFR Part 261. <br /> \ST PE: ji <br /> ISPOSAL ❑SLUDGE <br /> O CONSTRUCTION O WOOD <br /> 0 DEBRIS O OTHER I <br /> O SPECIAL WASTE <br /> 'NERATING FACILITY ; <br /> t nornion'ljunyurwor nornion M ! <br /> A,.oPORTER`.;_ NOTES: VEHICLE LICENSE NUMBER TRUCK NUMBER <br /> DRESS Jy <br /> 820 Acte CT <br /> fY,STATE,ZIP ^– <br /> Wind,wc;CA 95492 <br /> ZONE END DUMP BOTTOM DUMP TRANSFER <br /> 70 RI -1 A07 ❑ ❑ ❑ <br /> aN R AUTHORIZEP AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> "1411A lt� �f <br /> CUBIC YARDS { � � <br /> 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. <br /> DISPOSAL METHOD: (TO BE COMPLETED BY LANDFILL) <br /> DISPOSE OTHER <br /> .MARKS O SOIL <br /> ❑CONSTRUCTION <br /> CILITY TICKET NUMBER DEBRIS <br /> ❑NON-FRIABLE <br /> aNATURE OF AUTHORIZED AGENT DATE ASBESTOS l <br /> ❑WOOD I I <br /> ❑ASH <br /> ❑SPECIAL OTHER <br /> i <br /> )ULING MUST BE MADE PRIORT03M0 RM.THE DAY PRIOR TO EXPECTED ARRIVAL*ANY UNSCHEDULED LOADS ARE SUBJECT j <br /> EFUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> GENERATOR COPY MANIFEST# 341998 <br />