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❑ Keller Canyon ❑ Ox Mountain U Newby Island Forward <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 /> Phone(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 /> >� ';Fa'ii�e Cres R�l+rti�c <br /> MAILING ADDRESS 4314 <br /> CITY,STATE,ZIP REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> &-m Franmco.CA94120 O GLOVES 0 GOGGLES O RESPIRATOR O HARD HAT <br /> PHONE.` <br /> (.415)973-3773 0 TY-VEK 0 OTHER <br /> ONTACT PERSON <br /> SPECIAL HANDLING PROCEDURES: <br /> 5 �=>gal�zal:Gray <br /> SIGNATURE OF AUTHORIZED AGENT!TITLE DATE � 1JCj f <br /> ` l <br /> 41. <br /> GFIJERATOl3'S CERTIFICATION:I certify that the above named material is not a hazardous <br /> t k waste as defined,by 40 CFR Part 261 or title 22 of the California code of regulations,has been property <br /> ' described cla�slfied and packaged;and is in proper condition for transportation a':cording to applicable <br /> reguiatpns AiJR the waste <br /> Is a treatment residue of a previously restricted hazardous waste <br /> ect to th� Daposal Restrictions,-i certify and warrant that the waste has been treated in RECEIVING FACILITY - - <br /> cordanee the requirements of 40 CFA Part 268 and is no longer a hazardous waste as defined by <br /> 40 CFR mart 2Ct: <br /> �E TYPE: <br /> - kSPOSAU SLUDGE <br /> 4 31 �fl RUCTION O WOOD <br /> r <br /> . -P•• YYASTE• <br /> f9%A- ,111 STY- <br /> IXERROF <br /> NOTES: VIM-ff L CE'S�i�f�1�1BEi t "TRt1e <br /> Y e S a t <br /> y (VE END DUMP BOTTOM DUMP TRANSFER <br /> 0 838-1.407 I ❑ ❑ <br /> IGNATURE OF AUTHQRIZEDAGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> �r C* - , I�I J•� <br /> CUBIC YARDS <br /> 1 hereby certify that'the above named material has been <br /> X' accepted and to the:best of my knowledge the foregoing <br /> IS true and accurate. DISPOSAL METHOD: (f0 BE COMPLETED BY LANDFILL) <br /> DISPOSE OTHER <br /> U SOIL <br /> REMARKS <br /> U CONSTRUCTION <br /> DEBIS <br /> 1, FACILITY TICKET NUMBER o NONRFRIABLE <br /> '? ASBESTOS <br /> SIGNATURE OF AUTHORIZED AGENT DATE <br /> O WOOD <br /> U ASH <br /> U SPECIAL OTHER <br /> . fIEDUL'ING MUST BE MADE PRIORTO 3:00 P.M.THE DAY PRIORTO EXPECTED ARRIVALs,ANY UNSCHEDULED LOADS ARE SUBJECT <br /> T REFUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> GENERATOR COPY MANIFEST# <br /> 289700 <br />