Laserfiche WebLink
. tiJ# Canyon ® i.i duntal F� eAiiF t.t F41k 1R#J.ard' <br /> 5 ifary Lan,dfill Landfill san ill Landfill <br /> pilaff+Road 'I231ft` Mat Road 1601 �laxbn La Road 9999 S.Austin Road <br /> avttr ,CA 94565 Half'Mooh Say,CA 94019 1001 is,CA W36 Malt ,CA 9533r. <br /> Phona'( 5)458-9800 Ph6ha(%C 7 -t 819 Phona( 0)9464W0 Ptiorte(209)982-4296 <br /> Pmac(925 468-9 381 Fes'(550)72.6-91 'ax:.( 8)262-2811 Fax(209)982-1009 <br /> NON-HAZARDOUS WASTE MA14IFEST � <br /> GENERATOR WASTE ACCEPTANCE NO. <br /> MAILING ADDRESS i <br /> CITY STATE,ZIP REOUIRl O PERSONAL PROTECTIVE EQUIPMENT � <br /> GLOVES 0 GOGGLES Q.RESPIRATOR 34Q HARD HAT <br /> ONE ^� <br /> I TY!VEK. I TIER <br /> CONTACT PERSON _ SPECIAL HANDLING PSOCEDURES: <br /> SIGNATUI'IE OF AUTHORIZED AGENT ITrFLE DATE iE <br /> a. 4 P �t <br /> r <br /> GEN$RATC9r't`$Gt RTtFtGAf H?Nd[ ally Ptiij k"remi t wabow mmod rtstadA f3 mi a haurdmn <br /> waste ass ntaf by 4OFR Pasta 0(004 22 Oft,,*Ga4tm�i t:odo i$tvgu2pjlm .liaa bctA pro c7p <br /> dasct tad: aai+tgad 3sgnprq)s3 r it#ften-5por�ttpttx dht$tpgptk' ]fl <br /> 1=11"n"111111114" <br /> 4F 11"ns1 AT1d"IN weafs s.telpptm4m residua of a pytWou*f`oWfk[tod h&xpM u7a't*** <br /> s al rcR;p t.;rt+6 04PDOO f irk "o,l n14 andwar;vM Ow vmAwr' a not tm"Ama sd trt <br /> so 'm�raqutrx�xvtaod oCFRa �� <br /> 46arAIsra6bazedo"wa�aandarowdby RECEIVING PACIUTY a <br /> tea„��wt <br /> 291r - <br /> WASTETYPE: <br /> 0 DISPOSAL, 4, U SLUDGE I t <br /> °J` CONSTPUCTION a WOOD <br /> .]DEBRIS C1 OTHER” L= <br /> Q SPECIAL WASTE <br /> GENERATING FACT#IT`( <br /> .r <br /> TRANSPORTER NOT . -VEHICLE LICENSE NUMBER TRUCK NUMBER <br /> ADbRESS �. _ "" . <br /> ir <br /> CITY;STATE,'QIP <br /> .3 <br /> PHONE— ENC DUMPS _ BOTTOM DUMP TRANSFER I <br /> i I <br /> SIGPIATUAE©F AIJT#It)I IZIof3 ACaERT C)R I I IVER DATEFIOI»L-C (S FLAT-BED VAN C3F3UM # <br /> er. <br /> t <br /> CUBIC YARDS I <br /> I hereby certify that the above named material has,been <br /> accepted and to the;best ot'my knowledge the foregoing DI3PQL.Ml=rHOD: �sO BE COMPLETED 6Y LANDFILL) <br /> Is true and acourete. <br /> DISPOSE OTHER <br /> REMARKS <br /> ti1t <br /> 1 CONSTRUCTION i <br /> FACILITY TICKET NUM13ERDEBRIS'C)NOWFRTASLE', <br /> F <br /> AS$ESTOS <br /> SIGNATURE OF AUTHORIZED AGENT I.3A f E WOOO it <br /> ,. <br /> ; f Ck ASH <br /> HEDU NG MUST BE MADE PRIG ITD 3.00 P.M.THE DIY 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 /> SALMS COPY MANIFEST# 101755 <br /> { <br />