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Keller Canyon . ❑ Ox Mountain ❑ Newby Island Forward <br /> Sanitary La_ fill Sanitary Landfill Sanitary Landfill Landfill f <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 /> :NERATOR WASTE ACCEPTANCE NO. <br /> pamfic <br /> ULING ADDRESS <br /> ACIA"— I <br /> 77 Beale Str=1 ___A4ail Code FY,STATE,ZIP REQUIRED PERSONAL PROTECTIVE EQUIPMENTSan { <br /> IONE Francisco, A 94 Q GLOVES Q GOGGLES Q RESPIRATOR Q HARD HAT <br /> t <br /> Q TY-VEK Q OTHER i <br /> )NT A 05 A <br /> SPECIAL HANDLING PROCEDURES: 4 <br /> 3NAT0RE OF A HORIZED AGENT/TITLE DATE ! <br /> f Authorized Agent for J <br /> di Gen&E:lectric <br /> Pool <br /> ENERATOR'S CERTIFICA N:finereby certify that the atove named material is not a hazardous 1`IVI1C <br /> este as defined by 40 CFR Part 261 or title 22 of the California code of regulations,has been property li <br /> 'scribed,classified and packaged,and is in proper condition for transportation a-cording to applicable l <br /> gulations;AND,If the waste Is a Vestment residue of s previously restricted hazardous waste <br /> abject 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 /> kSTE TYPE: <br /> DISPOSAL Q SLUDGE <br /> Q ONSTRUCTION Q WOOD <br /> O DEBRIS ❑OTHER I ;` <br /> O SPECIAL WASTE <br /> I <br /> :NERATING FACILITY j <br /> �101umn LICII QIdtor I❑(II wil I) <br /> ­"ORTEfi ' NOTES: VEHICLE LICENSE NUMBER TRUCK NUMBER <br /> DRL)enF3este bran. itatron <br /> 820 LcnBeste Ct. <br /> fY,STATE,ZIP <br /> ZONE END DUMP BOTTOM DUMP TRANSFER <br /> 13 ❑ ❑ <br /> aN RIZED RIVER DATE ROLL-OFFS) FLAT-BED VAN DIRUMS <br /> Htl#f l <br /> CUBIC YARDS <br /> hereby certify that the above named material has been <br /> accepted and to the best of my knowledge the foregoin <br /> is true and accurate. g DISPOSAL METHOD: (TO BE COMPLETED BY LANDFILL) <br /> - <br /> DISPOSE OTHER <br /> i <br /> ❑SOIL <br /> MARKS I _ <br /> Q CONSTRUCTION <br /> -1ILITY TICKET NUMBER DEBRIS <br /> O NON-FRIABLE <br /> ASBESTOS <br /> 'NATURE OF AUTHORIZED AGENT DATE <br /> O WOOD f i <br /> Q ASH <br /> Q SPECIAL OTHER { <br /> )ULING MUST BE MADE PRIORTO 3:00 P.M.THE DAY PRIORTO EXPECTED ARRIVAL a ANY UNSCHEDULED LOADS ARE SUBJECT <br /> ;FUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE._ <br /> GENERATORCOPY MANIFEST# 3 42 008,. . <br />