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10/08/2001 11:51 9163811tn MANILEY TRUCKIN PAGE 62 <br /> • .c''}fin e •� <br /> njYdn ❑ Ox`Mountaln-. ❑ New6y Iwithd. ❑ Forward <br /> ate �andffl' <br /> Sanity LandfillLandfill <br /> fill San' ry !Y , <br /> L a11ay Road''=: 12310 Sara Mteo Raed 1601 Dixon Landln0 Floyd BB98 S.Austin Road <br /> wv - ~,; Piiisbarg,CA 84565'. Half Moon Say,CA 94019 Mllpitas,CA 95035' - Manteca,CA 95336 <br /> PFion161325)458.980D Phone (650)726-1619 ,. Phone(4081945-2800 Phone(209)982-4298 <br /> Fax(92 }'458-9891 FaSc(650)726-9188 Fax(408)262.287'1 . ' ' Fax (209)982-1009 <br /> 1.r' <br /> NON-HAZARDOUS WASTE MANIFEST ... <br /> GENERATOR WASTE ACCEPTANCE; NO. <br /> .MAILL..G D ESS — 281 <br /> CITY.STATE,ZIP I REQUIRED PERSONAL PR TECTIVE EQUIPMENT <br /> MIK 160 W=djd4 <br /> ❑GLOVES G]GOGGLES ❑RESPIRATOR ©HARD HAT <br /> PHONE ' <br /> O TY IIEK 0 OTHER <br /> CONTACT PERSON SPECIAL HANDLING PROCEDURES: <br /> SIGNMATUREQFAUTHORIZED AGENT/TITLE DATE <br /> GENERATOR'S CERTIFICATSON;I hereby ce"IMI Sha named malallal Is rot a lanu�dorrs <br /> weal!di dL,Mlvd by 60CFR Ped 261 or Ude 22 of the Ge6 Cod6 01 replrlallo►a,has peen'propaWy <br /> 'deecrmed,ele+.lgsd errd packaged,and h In pMer can lot trarlapona&m sworang to applieahla <br /> reyi�rledone:ANDr 110m waste Is a usatmoM residua al s prwlo .ly raW mad hwraeua wwth <br /> $+W�td Ihe.I.and'l 4osal ReeMc9om,I oulily and warrant teal tJre weAle has bawl healed In ' RECEIVING FACILITY ' <br /> .` aocordam*wIm IM mglilrwonle of AO CFR Pen 269 and le nIon <br /> o ger a Murditm ai"ie&e dellned by <br /> AO CFR Pan 267: <br /> WASTE TYPE: I <br /> f fl DISPOSALO SLUDGE, <br /> O CONSTRUCTION' G WOOD" <br /> ©DEBRIS'' ❑OTHER <br /> O SPECIAL WASTE <br /> GENERATING FACILITY I <br /> Unocal#0123, 1034 Central Ave., Tracy, CA <br /> TRANSPORTER NOTES:' I VEHICLE LICENSE DUMBER . TRUCK NUMBER" <br /> ADDRESS <br /> CITY,STATE;ZIP.' I ' <br /> acraimeGA 90020. . I <br /> _PHONE I END DUMP BOTTOM DUMP 7 TRANSFER . <br /> .. _. 0 <br /> SIG NA E OF AUTHORIZED AGENT O DRIVER , DATE I fzDLl-OFF $ FLAT-BED VAN DRUMS <br /> w •r..' i .. .... •..r ' -.yy•.�.. a .-.... _.... I--�'.:'•A. ...�. ,�❑ - .. �• �l'- <br /> , Ya <br /> CUPlq'YARD47p <br /> .S,•.•akff'.n,.rS• _•r::..rY°.s- •'•r.;,}•'::':•.,.•'.,• ,:•�'!:. 'jysraYK <br /> :-- .._ .... ... rums . .. <br /> I he�eby.'cerflfy that the above'named maternal has been <br /> "'scceptdd'and to the best of my knowledge the,loregoing DISPOSALMETHOD:' (T1D'aE,CAMPLET£D BYLANOFIu.) • - <br /> ls'true and'acourate. y :. ; ..: . <br /> DISPOSE OTHER <br /> * l9MARKS <br /> CONSTAUGTION _. <br /> FACILITY TICKET NUMBERI r' DEBRIS" -- <br /> __.__..II o��IPN:FRIABI.E <br /> •.t' SIGNATURE Or-AUTHORIZED AGENT DTI:- '� ••:•• � .,-;_ � - ...«-,<�•, -'-- ---r.�7' <br /> •.iw+els+'r..� _ •6 r+wi�...i. w. a..... rr a �`r+F.. r r., ,.r--. <br /> 177--f <br /> N L <br /> '1 F : { '.. ,. ......v _•. .. pIWM7;.4i4rM4 1`{KL' '. M{y A Glii lfL' Q'iUiil�$T'S9 MADE PPIKMTO'-0 P.M.Thn�i,4Y PFi1Gr�TO�XP�I�.TED ALS kVA �AN~t�'�1C(i)�D�fL,+EARQ'? OWA $0JWE <br /> ft <br />