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❑ Keller Canyon ❑ Ox Mountain ❑ Newby Island WForward <br /> Sanitary Landfill Sanitary,Landfill Sanitary Landfill / Landfill <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 /> Phc#ne(925)458-9800 Phone(650)726-1819 Phone(408)945-2800 Phone.(209)982-4298 <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 /> 1,a uu,Vas lam%,Llceltric <br /> ?' MAILING ADDRESS <br /> tom, <br /> 77 Beale Stmet Mail Code B24A YJ i'9 <br /> CITY,STATE;ZIP- REQUIRED PERSONAL PROTECTIVE EQUIPMENT. <br /> O GLOVES Q GOGGLES Q RESPIRATOR O HARD HAT <br /> PHONE <br /> Q TY-VEK Q OTHER <br /> CONTACT PERSON <br /> Robert{u SPECIAL HANDLING PROCEDURES: <br /> SIGNATURE OF AU ORIZED AGENT/TITLE JDATE <br /> GENERATOR'S CE FICATION;I hereby cerI4 that the above named material is not a hazardous <br /> waste as defined by 40 CFR Part261 on fitle 22 of the California code of regulations,has been property <br /> ki. described,classified and packaged,and is,in proper condition for transportation a-cording to applicable <br /> regulations AND,It tfre waste Is a treatment residue of a previously restricted hazardous waste <br /> to the lard Re strictionsltcertdy,ane'warwantthat the waste has been treated n RECEIVING FACILITY <br /> ,.,. <br /> tt;tF;ie retrwements of 40 CFR Part 268 and is no.Ion ger a hazardous waste as defined try <br /> STE TYPE: <br /> ISPOSAL O SLUDGE <br /> GgNSTRUCTION 0 WOOD <br /> s r ' ❑OTHER <br /> 0. <br /> �. <br /> NOTES: VEHICLE UCENSENl1 tlIBER T 1VIBER''' <br /> t�Tr 'ortatie�n': , <br /> 4DDRIE S <br /> X201 In.LC <br /> CITY,STATE,ZIP <br /> Windsor. CA 2 <br /> RHONE END UMP BOTTOM DUMP TRANSFER <br /> 007)IIR1 9-1 407 <br /> SIGNA OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> "k2 ! ❑ ❑ ❑ Ll <br /> r <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. <br /> DISPOSE OTHER <br /> D SOIL <br /> EMARKS <br /> Q CONSTRUCTION <br /> FACILITY TICKET NUMBER DEBRIS <br /> LI NON-FRIABLE <br /> ASBESTOS <br /> SIGNATURE OF AUTHORIZED AGENT DATE <br /> Q WOOD <br /> O ASH <br /> O SPECIAL OTHER <br /> SCHEDUUNG MUSTBE MADE PRIORTO 3:00 P.M.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 /> GENERATOR COPY MANIFEST# 291844 <br />