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anyon ❑ OX Mountain ❑ Newby Island ER Forward <br /> • ` .`< ary Landfill Sary Landfill Sanitary *dfill Landfill <br />?. ; • <br /> Kiley Road 123TO San Mateo Road 1601 Dixon Landing Road 9999 S.Austin Road <br /> .:�tsburg,CA 94565 Half Moon Bay,CA 94019 Milpitas, CA 95035 Manteca, CA 95336 <br /> `t�hone (925)456-9800 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) 982-1009 <br /> NON-HAZARDOUS WASTE MANIFEST <br /> GENERATOR WASTE ACCEPTANCE NO. <br /> North Stockton Auto Service <br /> MAILING ADDRESS <br /> 2?,4 <br /> CITY, STATE,ZIP REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> Sfockt-o-a-,--cA—qb2uq Q GLOVES J GOGGLES 0 RESPIRATOR U[HARD HAT <br /> PHONE <br /> (2095478-1614 U TY-VEK BOTHER � <br /> CONTACT PERSON <br /> SPECIAL HANDLING PROCEDURES: <br /> Ed Niernann <br /> SIGNAT O UTHORIZED A ENT/T TLE DATE j <br /> 7k /1/00 none <br /> GENERATOR'S CERTIFICATI :I hereby certify that the above named material is not a hazardous <br /> waste as defined by 40 CFR Part 261 orlitle 22 of the California code of regulations,has been properly <br /> described,classified and packaged,and is in proper condition for transportation according to applicable <br /> regulations;AND,It the waste is a treatment residue of a previously restricted hazardous waste <br /> subjed to the Land Disposal Restrictions,I certify and warrant that the waste has been treated in RECEIVING FACILITY <br /> accordance with the requirements of 40 CFR Part 268 and is no longer a hazardous waste as defined by <br /> 40 CFR Part 261. <br /> F <br /> WA TE TYPE: nrwar T,sfn{Ii1i 1 <br /> - — - -- <br /> ISPOSAL U SLUDGE 9999 S• Aust-in Rd� <br /> U CONSTRUCTION U WOOD Manteca., CA 95336 <br /> U DEBRIS U OTHER <br /> U SPECIAL WASTE <br /> GENERATING FACILITY <br /> North Stockton _auto Service <br /> NAME NOTES: VEHICLE LICENSE NUMBE5A TRUCK NUMBER <br /> Jn Thorpe Qil , Tne, `7 <br /> ADDRESS <br /> P.O. 51 <br /> CITY, STATE, ZIP <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> goy sc -6175 ❑ ❑ <br /> SIGNATLM,E OFAUTHORIZED AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> 211/00 <br /> CUBIC YARDS <br /> I hereby certify that the above named material has been 15 <br /> accepted and to the best of my knowledge the foregoing DISPOSAL METHOD: (TO BE COMPLETED BY LANDFILL) <br /> is true and accurate. <br /> DISPOSE OTHER <br /> ❑ SOIL <br /> REMARKS <br /> U CONSTRUCTION <br /> FACILITY TICKET NUMBERDEBRIS <br /> U NON-FRIABLE <br /> ASBESTOS <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE <br /> U WOOD <br /> U ASH <br /> SPECIAL OTHER <br /> SCHEDULING MUST BE MADE PRIORTO 3:00 F M.THE DAY 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 /> GENERATOR COPY MANIFEST# <br />