Laserfiche WebLink
❑ Keller CailyQn ❑ pOuloklntain lJ Nor n / Islana, u.rvrw rm <br /> 4-unitary Landfill Sanitary Landfill Sanitary La fdfill Ukd`fiff <br /> 901 Palley Roan 12310 Sip Mateo Rod 1601 Dixons antfing,Road 9999 S Austin Road <br /> Pittsburg,CA 94565 Hall Moon day,CA 94019 mirpii�a�,Cly 9�--` MAn*a,CA 95336 <br /> Phone(925)458-9800 Phone(650)726-1619, Phone(408)945-2800' Phone(209)982-4298 <br /> Fax(925)458-9891 Fax(650)726-9183 Fax(408)262-2871 FaX(209),962-'l 009 <br /> - NQN-HAZARDQUS WASTE MANIFEST - <br /> GENERATOR _ 'WASTE ACCEPTANCE N0. <br /> ary n <br /> MAILING ADDRESS — # 3212 <br /> anu ee ' <br /> CITY, STATE,ZIP REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> Stockton, CA 95203 ❑GLOVES ❑GOdGLES O RESPIRATOR 0 HARD HAT <br /> PHONE <br /> 530 868-5399 o TY VEK ❑OTHER <br /> CONTACT PERSON SPECIAL HANpLING PROCEDURES <br /> Dave Threifa(I <br /> SIGNATURE OF AUTHORIZED AGENT/TiTLE DATE, <br /> GE TOR'S CE"F1CA-nom I hereby oet4fy that the above narned mstwW Is not h hazaidoua <br /> w to as tleflned by 40 CFR Piet 261 or title 22 of the Ca%mTdA Cede of regrrlatlona,has trees propgdy <br /> dsscnbed dssstfled and packaged.and is in proper-noon by transpcotatfan a mwding to appikable <br /> regulaWns AMR K urs waste Is s bwbnent roefdus of a PreA"Gl r"s'tdc1°d b—'rdO1e waste RECEIVING FACILITY <br /> sublet!to tho Land Disposal Rastticilana,1 cerfty acrd wartant Itra1 the waste hes been frosted In <br /> amardarrce with the requlremerua of 40 CFR pen 268 arrd Is no longer a hazardous waste as defined by <br /> 40 CFR Pars 261 <br /> WASTE TYPE <br /> U DISPOSAL O SLUDGE <br /> ❑CONSTRUCTION Q WOOD , <br /> U DEBRIS U OTHER <br /> O SPECIAL WASTE <br /> GENERATING FACILITY <br /> 1876 Country Club Blvd, Stockton, CA 95203 <br /> TRANSPORTER NOTES VEHICLE LICENSE NUMBER TRUCK NUMBER <br /> Manley Inc L <br /> ADDRESS <br /> APaR Elder rrm*k Rd <br /> CITY, STATE,ZIP <br /> PHONE END U BOTTOM DUMP TRANSFER <br /> SIGNAT RE Q1A_ al <br /> A HORIZED AGENT OR DRIVER DATE ROLL-OFFS FLAT-BED VAN DRUMS <br /> Ck <br /> CUBIC YARDS <br /> I hereby certify that the above named material has been 48 yards <br /> accepted and to the best of my knowledge the foregoing DISPOSAL METHOD (TO BE COMPLETED BY LANDFILL) <br /> Is true and accurate. <br /> rr^^ DISPOSE OTHER <br /> REMARKS a CONSTRUCTION <br /> DEBRIS <br /> FACILITY TICKET NUMBE 1 0 NON-FRIABLE <br /> ASBESTOS <br /> IGNATURE OF. D GENT DTE _ O WOOD- - - --- - - - - <br /> ~� <br /> $H <br /> f O <br /> SPEctAL OTHER <br /> -_� <br /> SCHEDULING MUST BE MADE PRIORTO 3.00 P M THE OAY PRIORTO EXPECTED ARRIVAL-ANY UNSCHEDULED LOADS ARE SUBJECT <br /> TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> I TRANSPORTER COPY MANIFEST 8 �a C <br /> - - — - - '----------- -- -- - - - -- <br />