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yon t u ox mountain a newDy isiana rvrnresru <br /> rY Landfill Sanitary Landfill Sanitary Landfill Landfill <br /> 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(2Q9)982-4298 <br /> Fax(925)458-9891 Fax(650)726-9183 Fax(408)262-2871 Fax(209)982-1009 <br /> Fa <br /> 0 <br /> NON-HAZARDOUS WASTE MANIFEST <br /> GENERATOR WASTE ACCEPTANCEN . <br /> MAILING ADDRESS <br /> CITY,STATE,ZIP REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> 4..; ®GLOVES 0 GOGGLES U RESPIRATOR U HARD HAT <br /> P E . <br /> -. ,. U TY VEK 0 OTHER <br /> CONTACT PERSON SPECIAL HANDLING PROCEDURES: <br /> S A AUTHORIZED AGENT/TITLE DATE <br /> GENERATOR'S m-Frri POM:I hereby osrdfy that the above named material is not a hazardous <br /> waste as defined by 40 CFR Part 261 or We 22 of the California rhe of regulations,has been property <br /> desoribecL classified and packaged.and is in proper condition for transportation a-cording ib applicable <br /> AND,It the waste Is a treabnent residue of a pfevkiusly resirtcted hazardous waste <br /> s u tact to the Laid Disposal Restrictions,i comy arw warrant that the waste has been heated in RECEIVING FACILITY <br /> accordance with the requirements of 40 CFR Part 268 and is no finger a hazardous waste as defined by <br /> 40 CFR Part 261. <br /> WASTE TYPE: <br /> 0 DISPOSAL 0 SLUDGE <br /> �,ONSTRUCTION U WOOD <br /> U DEBRIS 0 OTHER <br /> U SPECIAL WASTE <br /> GENERATING FACILITY <br /> TRANSPORTER NOTES:-]VEHICLE LICENSE NUMBER '< TRUCK NUMBER <br /> P <br /> P END DUMP BOTTOM DUMP TRANSFER <br /> AWWWWA—UTHORIZED AGENT OR DRIVER DATE ROLLOFF FLAT-BED VAN -MRI IMR' <br /> 4�2& :) , — a-, UF <br /> F CUBIC YARDS? <br /> hereby certify that the above named material has been <br /> r, <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 /> -- <br /> 0'S@IL�. <br /> EMARKS <br /> U CONSTRUCTION <br /> EBRIS <br /> FACILITY TICKET NUMBER ®NON-FRIABLE <br /> ASBESTOS <br /> SIGNATURE OF AUTHORIZED AGENT DATE <br /> o WOOD <br /> ft �` <br /> ®ASH <br /> -A U SPECIAL OTHER <br /> SCHEDULING MUST BE MADE PRIORTO 3:00 RM.THE DAY PRIORTO EXPECTED ARRivAL*ANY UNSCHEDULED LOADS ARE SUBJECT <br /> TO REFUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br />