|
V
<br />f,''kaller canyon
<br />Sanitary Landfill
<br />aol Road
<br />PivobL+ng, CA 94�!E5
<br />p1looe (925) 4,58.9800
<br />Fax (925) 458-4e9d
<br />'-,-)Coffin SHUR
<br />i Ox Mountain
<br />j New
<br />Landfil•l
<br />Sanitary Landfill
<br />SarlWy Landfill Landfill
<br />29972 Co'f,n Su*!, Rc,1--ld
<br />L,310 Sao VatL0 Road
<br />164I Damn Land,hg Road OtKA 5, Austin 9�
<br />C'l-VOIS, OP
<br />Ha 1 %loon Say, CA 94019
<br />fUpfao, CA 435035 CA 96a35
<br />Phone lF,H) 745-201A
<br />ph'ptt660) _726-1819
<br />PhonA (40Eh 945,2P00 ''%,) 982,42
<br />Fax i5411 745-3526
<br />Fox 1650, 720-9163
<br />ray (408) 262,28 71 Fn", 42(01 982 1000
<br />NON -HAZARDOUS WASTE MANIFEST
<br />... . ....... . ... ------------------
<br />WASTE ACCEPTANCE NO.
<br />— --------------
<br />----
<br />---- ------- -------- ------
<br />--------------
<br />9905
<br />---- ------
<br />F,5orloV
<br />----------
<br />------- ;REQUIRED PERSONAL PROTECTIVE EQUIPMENT
<br />PHONE
<br />-,_XGLOVES _j GOGGLES j RESPIRATOR ',V HAIR,—) HAT
<br />,7U TY-VEK -XSAFETY VEST
<br />C1MA4CTPERSON ------- -
<br />------ SPECIAL HANDLING PROCEDURES:
<br />SIGNATURE OF AUTHORIZED AGENT/ TITLE DATE 5
<br />-- — -------- 5
<br />N
<br />10� on RECEIVING FACILITY
<br />---------- - - -
<br />--- ------- -- - -- --
<br />R)4TE TYPE� --- -----
<br />J CONS I IWGI ]ON
<br />-1 DEBRIS
<br />O SPECIAL WASTE
<br />i E F49 kAT_ I � 4 G FACILITY
<br />205M South He* Drive
<br />HANSPORTER
<br />15DRESS pe
<br />TTY, �TA 'I
<br />— __.. ---------------
<br />I hereby certify that the above named material has been
<br />accepted and to the best of my knowledge the foregoing
<br />is true and accurate.
<br />FAC-17YTICKT NUNIBER
<br />SCHEOULINO IMUSTOE MADE PRIOR TO 3;1
<br />—0 REFUSAL UPON ARRIVAL. ONGOIi i
<br />OtSPO:-AL MF I HCO C, P, C,:, i I L''ntIV�`
<br />DISPOSE OTHER
<br />J nO!f
<br />-1 %!-,N,FEA!A131 I
<br />DATE
<br />3`P4H
<br />P.M.THE DAY PRIOR TO EXPECTED AnSWAL ANY UNSC4E;ULE,3 LOADS ARE SUI
<br />DAILY DELIVERIES MUST 13E SCHEDULED WITH THE LANOML THE PAY 09:
<br />GIFNERATOR COPY
<br />j WOOD
<br />------- --
<br />-
<br />— ---------
<br />-------- —
<br />........... ------------- -
<br />TRAC, y
<br />-------- — -------
<br />---- -- -----
<br />T
<br />fo�(DTES E LICENSE NIJP7,,7,, I T
<br />TRUCK NUMBER
<br />... . ....... . ... ------------------
<br />- ----- --- ---- ---
<br />END DUMP
<br />---- ------
<br />F,5orloV
<br />------
<br />J
<br />- -- - -----------
<br />ROCI.-OF, 81
<br />----
<br />FLATBED
<br />VAN Chiu%is
<br />J
<br />J j
<br />I hereby certify that the above named material has been
<br />accepted and to the best of my knowledge the foregoing
<br />is true and accurate.
<br />FAC-17YTICKT NUNIBER
<br />SCHEOULINO IMUSTOE MADE PRIOR TO 3;1
<br />—0 REFUSAL UPON ARRIVAL. ONGOIi i
<br />OtSPO:-AL MF I HCO C, P, C,:, i I L''ntIV�`
<br />DISPOSE OTHER
<br />J nO!f
<br />-1 %!-,N,FEA!A131 I
<br />DATE
<br />3`P4H
<br />P.M.THE DAY PRIOR TO EXPECTED AnSWAL ANY UNSC4E;ULE,3 LOADS ARE SUI
<br />DAILY DELIVERIES MUST 13E SCHEDULED WITH THE LANOML THE PAY 09:
<br />GIFNERATOR COPY
<br />
|