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Lrceuer canyon -Li vx imounWin �:� lirgwlu► i�i�t �� 2 ,,.� ra�+.a'rrc[l dal : T— <br /> Sanitary Landfill Sanitary'l-andfill Sanitary Landfill I ar>dtfli <br /> 901 Bailey Road 12310 San Mateo,Road 1601 RU49l�x Hdl g I o$d 9999,5,Austlr Road <br /> Mo <br /> Pittsburg,CA 94565 Half on Bay,CA 94019 Milpltas,CA a 0:% A�iahtet•.a,`dkfts6` <br /> Phone (925)458-9800 Phone(650)726=1819 Phpne,(4p8)945-g80o Phone(209)982-4298 <br /> Fax(925)458-9891 Fax(650)726-9183 Fax(408)262-2871 Fax(20�)982-1009 <br /> NON-HAzARDOUS WASTE MANIFEST , <br /> ICONTAUWWR�ail <br /> NER Sanchez WASTE ACCEPTANCE NO. <br /> AILING ' SS'alrtut Street <br /> TY,S� CA 95203 REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> l7 GLOVES D GOGGLES U RESPIRATOR U HADD HAT <br /> ONE530 588-5399 <br /> l7 TY VEK l]OTHER <br /> SPECIAL HANDLING PROCEDURES <br /> SIGNATURE OF AUTHORIZED AGENT ITITLE DATE <br /> GENV6TOWS CERTIFICATION I hereby certy that to above named malarial Is toot a hazardous <br /> we as defined fry 40 CFR Part 261 or the 22 of the Caftmla code of rag Sore,has been property <br /> senbed dssatied and packaged and Is In proper condition for transportation axording to applicable <br /> regulahona AN4 If the waste is a bsabmnt residua of a prevlouaV restricted hazardous west* <br /> subject to to Land Disposal Restrictions I cerfty and warrant that the waste has been treated in RECEIVING FACILITY <br /> accordarooe with rho ro*rements of 40 CFA Part 268 and is no longer a hazardous waste as defined by <br /> 40 CFR Part 261 <br /> WASTE TYPE <br /> ❑DISPOSAL 0 SLUDGE <br /> ❑CONSTRUCTION U WOOD <br /> ❑DEBRIS ❑OTHER <br /> G SPECIAL WASTE <br /> GENERATIP1 -SP ItaITY , <br /> A 96203 <br /> TRANS NOTES VEHICLE LICENSE NUMBER TRUCK NUMBER <br /> ADDRE4 7 7Q <br /> CITY,STATE,ZIP <br /> ,53CMI-nento, CA M28 <br /> PHONE END RQAP BOTTOM DUMP TRANSFER <br /> 91t5 381-1064 x Q <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> ' CUBIC YARDS ` <br /> I hereby certify that the above named material has been IS YTS <br /> accepted and to the best of my knowledge the foregoing DISPOSAL METHOD , 8E OMPLETED BY LANDFILL._) <br /> Is true and accurate. I <br /> DISPOSE OTHER <br /> EMARKS <br /> 13 CONSTRUCTION <br /> FACILITY TICKET NUMBER DEBRIS <br /> ❑NON-FRIABLE <br /> ASBE=STQS <br /> SIGNATURE OF AUTHORIZED AGENT DATE <br /> 7 U WOOD <br /> f r s <br /> /✓ �' � ❑ASH' ' <br /> d SPECIALOTHER <br /> SCHEDULING MUUT BE MADE PRIORTO 3:00 P.M THE DAY PRIORTO EXPECTED ARRIVAL-ANY UNSCHEDULED LOADSAREAU9ECT <br /> TO REFUSAL U N ARRIVAL. ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE,4ANDFILL THE DAY VieFORE. <br /> TRANSPORTER COPY — �MA�IIFI=BTM (� <br /> --- - <br />