Laserfiche WebLink
❑ Keller Canyon ❑ Ox Mountain ❑ Newby Island Forward <br /> Sanitary Landfill Sanitary Landfill Sanitary Landfill /7Landfill <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)9824298 <br /> Fax(925)458-9891 Fax(650)726-9183 Fax(408)262-2871 Fax(209)982-1009 <br /> NON-HAZARDOUS WASTE MANIFEST <br /> GENERATOR WASTE ACCEPTANCE NO. <br /> Iyacific Gas& Elcc�c <br /> ILING ADDRESS <br /> 77 Beale Street. Mail Cote B24A �3 iK <br /> CITY,STATE,ZIP REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> San_Franc.is.co. C',A 94105 <br /> O GLOVES U GOGGLES Q RESPIRATOR U HARD HAT <br /> PHONE <br /> c - - U TY-VEK U OTHER <br /> (413111 <br /> CONTACT PERSON ACT PEcrt SON SPECIAL HANDLING PROCEDURES: <br /> SIGNATURE OF AU HORIZED AGENT TITLE JDATE <br /> r / <br /> GENERATORS CERTIFICATION:I hereby Xnity that the above named materiat'is not a hazardous <br /> waste as defined by.40 CFR Part 261 of title 22 of the California code of regulations,has been property <br /> described,classified and packaged,and is in proper condition for transportation a-cording to applicable <br /> regulations;AND,if the waste Is a treatment residue of a previously restricted hazardous waste- <br /> subiect to the land Disposal Restrictions,I certify and warrant that the waste has been treated in RECEIV INGkFACILITY ' <br /> accordance With the requirements of 40 CFR Part 268 and is.no.loNer a hazardous waste as defined by <br /> 40cFRParf261. - <br /> WASTE TYPE: <br /> ISPOSAL U SLUDGE <br /> U CONSTRUCTION U WOOD <br /> O DEBRIS O OTHER <br /> D SPECIAL WASTE <br /> FACILITY' <br /> NO S: NSEh11I�ABER TRUCK NUMBER" <br /> ate ran.sportat?on <br /> ADDRESS ��`� Q <br /> CITY,STATE,ZIP <br /> Windsor, CA 95492 <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> 17 7 g' -1 An7 ❑ ❑ <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> ❑ ❑ ❑ ❑ <br /> CUBIC YARDS <br /> 1 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. <br /> DISPOSE OTHER <br /> U SOIL <br /> EMARKS <br /> U CONSTRUCTION <br /> DEBRIS <br /> FACILITY TICKET NUMBER U NON-FRIABLE <br /> a4 ASBESTOS <br /> SIGNATURE OF AUTHORIZED AGENT DATE <br /> U WOOD <br /> U ASH <br /> U SPECIAL OTHER <br /> SCHEDULING MUST BE MADE PRIORT03:00 P.M.THE DAY PRIORTO EXPECTED ARRIVALGANY UNSCHEDULED LOADS ARE SUBJECT <br /> `To REFUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> GENERATOR COPY MANIFEST# 291840 <br />