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fr Canyon ❑ Mountain ❑ Newby Is;§df <br /> d ] Forward <br /> >ritary Landfill ary Landfill Sanitary ill Landfill <br /> /Bailey Road 12310 San Mateo Road 1601 Dixon Landing Road 9999 S.Austin Road <br /> ittsburg,CA 94565 Half Moon Bay,CA 94019 Milpitas,CA 95035 Manteca,CA 95336 <br /> Phone (925)458-9600 Phone(650)726-1819 Phone(408)945-2800 Phone{209)982-4298 <br /> Fax(925)458-9891 Fax(650)726-9183 Fax(408)262-2871 Fax{209)982-i 009 I <br /> f ' NON-HAZARDOUS WASTE MANIFEST <br /> J GENERATOR WASTE ACCEPTANCE NO. <br /> North Stockton Auto Servize <br /> MAILING ADDRESS -- <br /> 9709 N_ Dav' Rd. 23 <br /> CITY, STATE,ZIP REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> tat, s 1j ❑GLOVES ❑GOGGLES a RESPIRATOR CHARD HAT <br /> PHONE <br /> (2U9)479_ ❑TY-VEK U OTHER <br /> CONTACT PERSON SPECIAL HANDLING PROCEDURES: <br /> Ed Niemann <br /> SIGNATURE OF AUTHORIZED AGENT/TI I LF,r DATE <br /> '7 rA .2/1/00 none <br /> GENERATOR's CERTIFICATION:I.hereby certify that the above named material is not a hazardous <br /> waste as defined by 40 CFR Pan 261 or We 22 of the California code of regulations,has been properly <br /> described,classified and packaged,and is in proper condition for transportation according fo applicable <br /> regulations;AND,if the waste is a treatment residue of a previously restricted hazardous waste <br /> subject to the Land Disposal Restrictions,f certify and warrant that the waste has been treated in RECEIVING FACILITY <br /> accordance with the requirements of 40 CFR Part 26B and is no longer a hazardous waste as defined by <br /> 40 CFR Pan 261, Fvownrd Landfill <br /> WASIETYPE: 9999 S. Austin Rd. <br /> ISPOSAL ❑SLUDGE Manteca, CA 9b;33fj <br /> O CONSTRUCTION ❑WOOD <br /> ❑DEBRIS O OTHER <br /> ❑SPECIAL WASTE <br /> GENERATING FACILITY <br /> North Stockton Auto Service <br /> NAME NOTES: VEHICLE LICENSE NUMBER TRUCK <br /> NUMBER <br /> jim Thgatrpe Oil , Ing,, <br /> ADDRESS <br /> P.O. BOX des <br /> CITY,STATE,ZIP <br /> Lodi., CA Jam - J r <br /> END DUMP BOTTOM DUMP TRANSFER <br /> RHONE <br /> �' ❑ <br /> 209)366-6175 <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFF{S) FLAT-BED VAN DRUMS <br /> f ❑ ❑ ❑ ❑ <br /> 12/1/00 <br /> �L}.IGS/`f=1.�1 � � • �'�"�'• �--- <br /> CUBIC YARDS <br /> I hereby certify that the above named material has been 11- <br /> accepted and to the best of my knowledge the foregoing DISPOSAL ME p: (TO BE C MPLETED BY LANDFILL) <br /> is true and accurate. <br /> DISPOSE OTHER <br /> SOIL <br /> REMARKS ❑ NSTRUCTION <br /> DEBRIS <br /> FACILITY TICKET NUMBER ❑ NON-FRIABLE <br /> ASBESTOS <br /> SIGNATURE OF THORIZI D AGENT OR DRIVER DATE ❑WOOD <br /> ❑ASH <br /> it ❑ SPECIALOTHER <br /> SCHEDULING MUST B MADE PRIORTO 3:00 P.M.THE DAY PRIORTO EXPECTED ARRIVAL a ANY UNSCHEDULED LOADS ARE SUBJECT <br /> TO REFUSAL UPON IVAL. ONGOING DAILY DELIVERIES. MUST BE SCHEDULED WITH THE LANDFILL <br /> FEST#THE DAY BEFORE. <br /> GENERATOR DOPY <br />