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] KellertCapyon. ❑ Ox Mountain ❑ 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 <br /> NON-HAZARDOUS WASTE MANIFEST <br /> :'vERATOR WASTE ACCEPTANCE NO. I + <br /> ). (iVALl4f G[lA t%. .1_A1V1J 41.14 <br /> ULING ADDRESS <br /> A gAg— <br /> 77 Reale Streit -� v i <br /> FY,STATE,ZIP REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> Sati Fra-1wisee. CLQ 144j?.(1 <br /> - O GLOVES ❑GOGGLES O RESPIRATOR ❑HARD HAT <br /> IONE <br /> I , <br /> -' ❑TY-VEK O OTHER I <br /> )NT CT PERSON SPECIAL HANDLING PROCEDURES: <br /> aNATURE OF AUTHORIZED AGENT/TITLE DATE <br /> ' Atd i ized Agertt for <br /> / Pacific Ga&Electric / � /(, I It'll-511 <br /> q Q �♦s <br /> ENERATOR'S CERTIFICATION:I hereby certify that the above named material is not a hazardous 1`1U11� <br /> Iste as defined by 40 CFR Part 261 or fifie 22 of the California code of regulations,has been property <br /> w4ribed,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 /> Meet 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 /> i CFR Part 261. <br /> %STE TYPE: <br /> DISPOSAL ❑SLUDGE <br /> ONSTRUCTION O WOOD <br /> ❑DEBRIS ❑OTHER <br /> O SPECIAL WASTE <br /> :NERATING FACILITY I <br /> T`tomtuIt—Loduyurator i honitm I Itu,l t <br /> I`bPORTER NOTES: VEHICLE LICENSE NUMBER TRUC UMBER 4 <br /> llenriegte 'trans Aahon i <br /> DRESS �t1 <br /> 820 _ -m egt, ___ <br /> I`Y STATE,ZIP <br /> WindsoL CA 95492 <br /> IONE END QUMP BOTTOM DUMP TRAN FER <br /> 7 7 R1R_1A() ❑ L <br /> 3NATURE OF AUTHORIZED GENT OR DRIVER DATE ROL -O F(S) FLAT-BED VAN DRUMS <br /> S I � <br /> ❑ ❑ ❑ ❑ <br /> CUBIC YARDS lrltipll! <br /> 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 /> i <br /> :MARKS O SOIL <br /> O CONSTRUCTION I <br /> CILITY TICKET NUMBER DEBRIS <br /> U NON-FRIABLE <br /> ASBESTOS i <br /> 'NATURE OF AUTHORIZED AGENT DATE <br /> ❑WOOD f � <br /> ❑ASH ' <br /> I <br /> ❑SPECIAL OTHER <br /> )ULING MUST BE MADE PRIORTO 3:00 P.M.THE DAY PRIORTO EXPECTED ARRIVAL a ANY UNSCHEDULED LOADS ARE SUWIECT <br /> :FUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE QAY <br /> GENERATOR COPY MANIFEST#k 34 <br />