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] Keller Canyon ❑ Ox Mountain ❑ Newby Island Forward <br /> Sanitary Landfill Sanitary Landfill Sanitary Landfill Landfill <br /> 901 ba'ile'y 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 I <br /> :NERATOR WASTE ACCEPTANCE NO. <br /> ULING ADDRESS <br /> rY A REQUIRED PERSONAL PROTECTIVE EQUIPMENTSan <br /> 1 <br /> IONE Fmiricige.olA 94. O GLOVES U GOGGLES O RESPIRATOR U HARD HAT <br /> O TY-VEK U OTHER <br /> )NT A-773l <br /> SPECIAL HANDLING PROCEDURES: <br /> 3N U HORIZED AGENT/TITLE DATE <br /> Attd�cd Agent Rw f <br /> I <br /> Pac fic Gas vlectnc <br /> ENERATOR'S CERTIFICATION:I hereby certify that the above named material is not a hazardous J.al V IIIC . <br /> iste as defined by 40 CFR Part 261 or fitle 22 of the California code of regulations,has been property <br /> rscribed,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 /> bject to the land Disposal Restrictions,I certify and warrant that the waste has been treated in RECEIVING FACILITY <br /> *ordance with the requirements of 40 CFR Part 268 and is no longer a hazardous waste as defined by <br /> I CFR Part 261. j <br /> kSTE TYPE: ' <br /> DISPOSAL O SLUDGE i <br /> NSTRUCTION O WOOD <br /> O DEBRIS U OTHER <br /> O SPECIAL WASTE I <br /> :NERATING FACILITY <br /> i <br /> '�'�>cnniun i�Cu cisaiva" nc��-nivai yi; <br /> Alves. ORTER NOTES: VEHICLE LICENSE NUMBER TRUCK NUMBER <br /> D �R <br /> UenlBe<lte T rtataon <br /> IDRESS < <br /> R7(L)e.n Plz-te Ct- <br /> rY,STATE,ZIP <br /> W-indRor <br /> 95492 <br /> ION END DUMP BOTTOM DUMP TRANSFER I' <br /> ❑ ❑ f <br /> 3N A AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> ❑ ❑ ❑ ❑ <br /> kfilfl <br /> CUBIC YARDS fs 1 <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. ( V: <br /> DISPOSE OTHER f <br /> U SOIL <br /> .MARKS <br /> O CONSTRUCTION <br /> CILITY TICKET NUMBER DEBRIS <br /> U NON-FRIABLE <br /> 'NATURE OF AUTHORIZED AGENT DATE ASBESTOS I{� <br /> U WOOD <br /> U ASH { -� <br /> ❑SPECIAL OTHER 1 <br /> �i <br /> )ULING MUST BE MADE PRIOR TO 3:00 RM.THE DAY PRIORTO EXPECTED ARRIVAL a ANY UNSCHEDULED LOADS ARE SUBJECT <br /> iFUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> GENERATOR.COPY MANIFEST# 342006 .1 <br />