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J Vier CanyonF1Ox Mountain ElNewby Island Forward <br /> itary Landfill Sanitary Landfill Sanitary Landfill Landfill tft <br /> 901 Bailey Road 12310 San Mateo Road 1601 Dixon Landing Road 9999 S.Austin Road i 0If 0 i <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 /> Fay(925)458-9891 Fax(650) 726-9183 Fax(408)262-2871 Fax(209)982-1009 <br /> I. <br /> NON-HAZARDOUS WASTE MANIFEST <br /> :NERATOR WASTE ACCEPTANCE NO. <br /> 11LING ADDRESS <br /> 72 Beal su"Qcl "t7V? <br /> rY, A P REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> ------- - - - --- <br /> U GLOVES O GOGGLES U RESPIRATOR O HARD HAT b IP 0.1 <br /> IONIE--- <br /> U TY-VEK U OTHER ! lf1 l <br /> )N - - -v I <br /> SPECIAL HANDLING PROCEDURES: <br /> 3N HORIZED AGENT/TITLE DATE <br /> t <br /> Alifimized Agent for i <br /> Pacific Gm,&Electric - <br /> I <br /> I <br /> fJJERATOR'S CERTIFICATION:I hereby certify that the above named material is nNone <br /> a hazardous <br /> rete as defined by 40 CFR Part 261 or title 22 of the California code of regulations,has been properly <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 /> ibiect to the Land Disposal Restrictions,I certify and warrant that the waste has been treated in RECEIVING FACILITY <br /> zordance 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 /> "d DISPOSAL O SLUDGE <br /> U CONSTRUCTION U WOOD <br /> ❑DEBRIS U OTHER i _) <br /> O SPECIAL WASTE <br /> :NERATING FACILITY <br /> Ltm r,-.h .Jr*or rhmnion <br /> 7N,., ORTER NOTES: VEHICLE LICENSE NUMBER ,TRUCK NUMBER <br /> Derilleste — <br /> IDRESS <br /> R?0 i)nHe:cte (fit <br /> rY,STATE,ZIP <br /> IONLWmdsef, h END DUMP BOTTOM DUMP TRAM$FER A# I <br /> ❑ ❑ ❑ <br /> 3NVAWWORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> L1 L) L11 <br /> i . <br /> CUBIC YARDS <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. k <br /> DISPOSE OTHER it t <br /> goof <br /> U SOIL <br /> MARKS { <br /> U CONSTRUCTION <br /> DILITY TICKET NUMBER DEBRIS <br /> U NON-FRIABLE <br /> ASBESTOS <br /> iNATURE OF AUTHORIZED AGENT DATE <br /> U WOOD <br /> U ASH <br /> 1 <br /> U SPECIAL OTHER <br /> )ULING MUST BE MADE PRIORTO 3;00 P.M.THE DAY PRIORTO EXPECTED ARRIVAL a ANY UNSCHEDULED LOADS ARE SUBJECTly <br /> FUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE, f <br /> GENERATOR COPY MANIFEST#-'342043" { <br />