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r2, <br /> Canyon Y: ❑:CoffinButte 010z Mountain ❑Newby Island Forward <br /> ' Satfitary Landfill Landfill �anita.ry Larrdfll Sanitary"Landfill andfill <br /> u r 901 Balley Road :: 28972 Coffin 8unti Road` 72310 San Mateo Road'" 1601 Dixon Landing Road 9999 S;Austin Road <br /> urg CA94585 '' Corvallis;OR.97330 Half-Moon Bay,CA 94019 Milpitas,CA 95035 Manteca,CA 95336 <br /> Y <br /> Phone(926)':459-9800;:. Phone.(541).745-2018 Phone(650)726-18]9 Phone(408)945-2800 Phone`(209)982-4298 <br /> -Fax(92%450-9891 . FaY-(541).745-3826 Fax(650)72 91 Fax'(408)262-2871 Fait(209)"982-1009 <br /> NO:• HAZAADOl1S WASTE MANIFEST <br /> G ivERAToR WASTE ACCEPTANCE NO. <br /> MAILING ADDRESS 1. € <br /> CITY STATE;ZIP�, REQU RED PERSONAL P OTECTIVE"EQUIPMENT- <br /> I . , ��,,,rr <br /> E! LOVES ❑GOGGLES ,O RESPIRATOR : .,5 ARD HAT . <br /> PHONE- <br /> El <br /> El TY-VEIC ,rE]'SAFETY VEST <br /> gQNTAGT PERSON. , <br /> SPECIAL HAND INC PROCEDURES: <br /> AVIIi <br /> SIGNATURE OP.AU" G N !' TLE TE" <br /> l3ENr:Wq i'S C.E.Orrodoom;I hereby certify that.the abcvs named ma ial is not a hazardous <br /> *As Ite as'defin6d,W 40 CFR Part 251.or We 22 of the California code o1 iagu ations,has-been properly' <br /> "dasoiibed;cleastlied end packaged;.and is.in proper tondiiion for transportation a--cording 16 appikable <br /> ,regulallona;ANG,I>'the wsete is*irbatment"realdue of prnvlouelyreatrlelarl harardous waste - - <br /> .:subjecito"i6'land l�i"spogaIRestrictions;Ieenityandwarrantthatlhe"wastehasbeen'treatedin." RECEIVING FACILITY ' <br /> accordance,Mth.the requirikinenis ol.40 CFR Pah 268 and is no longer a hazardous waste as defined,by <br /> 40"CFR Part 261.: € <br /> 1►Y11STE.TYPE f <br /> SPOSALSt "DGE ; <br /> O CONSTRUCTION. Iwo OD : .R Y <br /> ;. ,b DEi3RIS ❑:OTHER.' <br /> Q SPI*GJAL WASTE - <br /> GEIIIEFIATING"FACILITY <br /> TRANSF�OFiT .FI <br /> :. NOTES` VEHICLE LICENSE NUMBER TRUCK NUMBER <br /> ADDRESS <br /> CITI!,STATE,ZIP <br /> �. . <br /> PHONE END DUM BOTTOM DUMP TRANSFER <br /> ' . <br /> SJGNATURE;OFAUTHCIFUZED AGENT 0R,DRkVER DATE ROLL-OFF(S)" FLAT-BED VAN, DRUMS <br /> 3. <br /> a . ❑ ❑ ❑ <br /> p _ <br /> "CUBIC YARDS' <br /> I Hereby certify that,the above namedi. rnaterlal°;has been <br /> accepted and to the best of my knmi lodge.theforegoing I lseosAL METHOD: (To BE COMPLETEDBY LANDFILL) <br /> is tW6!and accurate `" <br /> DISPOSE OTHER <br /> EMARKS <br /> Q SOIL <br /> a CONSTRUCTION,. <br /> F ICILI" ,,TI KET NUMBER "DEBRIS <br /> Q NOWFRIA E <br /> ASBESTO <br /> SIGN TU F AUTHO IZED AGENT ATF... <br /> �O •OQD <br /> I, <br /> ECIAJ ER <br /> SHED MUST ADE PRIOR` 5.00'PMTHE;DAY PRIORTO EXPECTED 71RRIVAL�A Y UI�SCHEDt1LED LOADS ARE SUBJECT <br /> 'CO REFUSAL UPON ARRIVAL. I�f+l DING D41.'Y DEfrIVERIE3 MUST BE SCHEDULED ITH THELANDFILL THE.-DAY BEFORE: <br /> / GENERATOR COPY MAN ST 8411 <br />