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Jun. 27. 2007 10:29AIA FORWARD IQlnr Canyon L]Coffin Elkitts El Ox Vountein ❑Nowby lcland UN a. 861 Ord F. 4 <br /> Sanitary Landfill Landfill San" Landfill Sandaly Landfill Landfill <br /> 601 Salley Road 88972 Gaffin Wlbo Road 12tm10 Ben Idatoo need IGM[Tmn Lending Rppd 6889 s,Ausnn Road <br /> Pittsburg,CA 64665 carwillp,OR 97330 _ Half Mall Day,OA 64418 Mllp(lu&CSA Now mEnbma,GAS amm <br /> Phone(925)488.2600 -Phwo(fAl)746-mia Phone 15511)728-1519 Phone(41181,945.2800 Phone(P.091,O&I'd 9a i <br /> Fox(920)456.9091 FAX(3417 746.3$26 FOR f§W)726.8163 Fax(408)282-2011 Fax l209)9$20006 <br /> 4 Ivan-MAZARDOUS WASTE MANWESr i <br /> T A WAM A=PTANCE NO. <br /> Hcehwd 1,f R9oLano® <br /> MAILING ADDREy9 v0^� <br /> e rl <br /> "' <br /> CITY STATE 7IP REQUIRED PERSO LAL PRQj_e0nyMg <br /> gyi;mvA 9T1G6 XGLOVEB C QQCCLM O RCSPIRATOR XQHARD HAT <br /> MONS <br /> a TV-VEK CL SAPETY YG07 <br /> A�T'PER84N <br /> BWeGIAL MNDLIN5 F'RIXEDUREB: <br /> SIGNATURE OFALITHQgIZEDAGENT ITITLE DATE <br /> 96WeRAnpn a aearvloJyLo�c n;io w„ Nn aao ativp mud maxim it e4l4 mu#49uq <br /> ha 4WpR4,raMaithli4ttlpi4rtlih1paohcl MRoJaJtlM�tl,wIa6no14l nn <br /> ma 0. W pexnhgypW4Dro41440D1mYYfk4r..lh46�?«mLAR <br /> mm ihJwenh.eyu�d.ylA�r4p 4Ib4eb14dM <br /> N <br /> i.rri lti REOEIVIN1a FACILITY <br /> wG°c 0°w�h lma a4wnmanue ro CPA Portzu'M is n[,woe&Nemzwwom a edAid ay <br /> WASTE TYPEt <br /> MC9SP13,%AL O$LtjDG[ <br /> O CONSTRUCTION ❑lyOC4 <br /> O DEBRIS a aTHEn <br /> U SPECIAL WASTE <br /> GENERAnNG FACILITY <br /> a:dxs W.Ems&M Aye <br /> R NOTES VEHICLE LICOSE NUM9l A <br /> ITY,STATE <br /> G'A967L>b <br /> PHONE END D P TRMI <br /> QNATURE 00F A RIY$q DATE ROLWFF$ FLAT-940 VAN DRUMS <br /> 4 r� cl o <br /> ARDS <br /> I hiMby cartify that thb above named Irlrlturlol has boon <br /> Recopied and to fhe best of my knowli4g5 the feregoing olfPOML MEn4O0: (TO E6IAMPLETED BY LANDFILL) <br /> Is Imus end accurate. <br /> DISPOSE OTTER <br /> o sal+_ <br /> HEMARKS <br /> IC DDNSTRucmcN <br /> RNCILI7rYTICK6rNUMBER D S <br /> 12 NON-FRi"i.E <br /> ABBEBTOS <br /> SIGMAUHI=OF AUTH0FIjZE2%J3ENT <br /> O WOOD <br /> oASH <br /> P -1 0 6PICIAL OTHER <br /> ;kVVULfNr.MUST6EMA 1pR7p9:00PALTH90AYPRIORTOWECTIIIIDARRIVAL•AIVYUNSCHECULEDLAAMARE'$Mrjf;,T <br /> R6FUBA6 UPON IAL.ONCOINO DAILY DRUVERIEA MUST BE aCHEBULEG WITH THE LALNDPILL THE DAY 13EFORE. <br /> L NC)FLLL COPY MANIFE8T* 564957 <br />