Laserfiche WebLink
p% � ai Keller Canyon ,4 : <br /> im, °4a , LaWfill aI .It �.,8fi1 ft <br /> ; a . rt <br /> �� 1dilt <br /> 901- and 12,311 San tviatao oad.. 1601 d6r Lan .,q Soad 9999 S.Austin Road <br /> r PlWs6urq,CA 94555 'Hal, Moon gay,CA 94 119 Mifpltasr C 9503 Manteca,CA 9533 <br /> Phone(925)458-9800 Rhona t6so)9 1819 Phone 1461 945- Phone( )982.4298 _ <br /> Fax(92-5)-46$-9891 F,sy(65th 918 Fax(4ts )26 4871 Fai¢2D9}982.1009 <br /> WASTF ­ <br /> NON-HAZARDOUS MANIFEST <br /> G-ENI XTOR {oWASTE ACCEPTANCE,NO, <br /> MAIUNG ADDRESS � <br /> i <br /> CITY;STATE.ZIP � a REQUIRED PERSONAL PR6 r CTltl9 Npt%Nl'MENT <br /> PHONE GLOMES UGOGGLES U RESPIRATOR 70HARD-HAT <br /> U OTHER <br /> CONTACT PERSON <br /> ... SPECIAL't-tANIDLING PROCEDURES: <br /> SIONATURIEOFAUTHO I,EDAGtNTf-'1TI.E DATE <br /> If <br /> � w � it I <br /> 6 1d ttt S SLR nC€ 7,�2F�i n ay u*r ow:n Mvu r,agwd mavriat 1a M a ha=rd ora <br /> wa.6ta a a0nw by 0 C-A Pax 26s CW bttn 22,d fW(a 603a 6f a ,tt&!S won ptootty <br /> d c4.s awtt d and�a Iry i �n arc r ca &a r rw rrenatxo E+rkrn. ar �aA 3ptic 0 i} <br /> nrp�nswns:ANq,P!she w,xta x traaRsnarrts saaR�ua of e.�avlaua�rusxk#ssb h�.daus wm�o. ; <br /> ro � t aaa 9 s cays y xts, r tns:ct,a wae:s:: ha n Maas r , RECEIVING FACILITY <br /> aaeorriaaaex with tha rutrsrrnam�t at sD��fi 1asC 2 arpi Es r341 a tt2�# sa�warms as�oM�k9r <br /> 3 <br /> WASTE TYRE: <br /> 0 DISPOSAIa SLUw � <br /> 0 CONSTRUCTION r.13 WOOD - Ilk t <br /> DEBRIS Ct7TNER. 1 <br /> 0 SPECfAL,WASTE � <br /> GENERATING FACILrTY i <br /> 1 <br /> f <br /> 6 <br /> TRANSPORTER NOT : V041CLE LICENSE NUMBER TUCK NUMBER <br /> ADE)RESS <br /> CiTY.STATE,QIP a <br /> PHONE END DUMP RC3fom LUMP TRANSFER <br /> 0 <br /> SICxf+lATL1RE©F AUTNCRtZEO AGENT OR DRIVER ROI VAN' DRUMS . <br /> 1 p , <br /> CUBIC YARDS <br /> I hereby certi y that the above flamed material hes been <br /> accepted and to the best otmy knowledge the foregoing Ia19 raz t��tt�Cl� (TO B8 CCT�PLETE[3 6YLFII�) t <br /> Is.true,and accurate. � <br /> DISPOSE OTHER <br /> TIEMARKS _ a SIL <br /> COTTION <br /> FACILITY TICKET NUMB 0 N ��BL <br /> SIGNATURE OF AUTHORIZED AGENT DATE <br /> 'YYOO�,{��.y/�� ; <br /> f D w <br /> ASIS'A /A <br /> s <br /> .. . <br /> to SPECIAL.OTHER <br /> i <br /> SCHEDULING MUST BE MADE PRIOR 3.00 PM.T1 E DAY P'R1C1RTO EXPECTED ARIAIVAL iANY UNSCHEDULED LOADS ARE SUBJECT <br /> TO REFUSAL UPON ARRIVAL.'ONGOING DAILY DELIVERIES MUST BE SCHI:�DULEID WITH THE LANDFILL THE DAY BEFORE. <br /> SALES COY MANIFEST#' 1,01768 <br />