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- - - --- — -----——-----_-�——--- ------ -- — — — --- — --- — —— —— <br /> 47--,Keller Canyon ❑ Ox Mountain E] Newby Island Ei Forward <br /> Sanitary Landfill Sanitary Landfill Sanitary Landfill Landfill <br /> ' 901,Bailey Road 12310 San Mateo Road 1601 Dixon Landing Road 9999 S Austin Road <br /> Pittsburg,CA 94565 Half Moon Bay, CA 94019 Milpitas,CA 95035 Manteca,CA 95336 <br /> Phone (925)458-9800 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 /> [ENMERAR WASTE ACCEPTANCE NO <br /> If <br /> 945- 00 <br /> REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> D'GLOVES D GOGGLES D RESPIRATOR SHARD HAT <br /> D TY VEK DOTHER <br /> N SPECIAL HANDLING PROCEDURES <br /> SIGNATURE OF AUTHORIZED AGENT/)TITLE DATE <br /> G A RSCtR IFICATIDN I hereby cerbty that the above named material z not a hazardous <br /> waste as defined by 40 CFR Pan 261 or title 22 of the CaMorrua code cl regulations has beer properly <br /> described classified and packaged and is in proper condition for transportation a-cording to applicable <br /> regulations AND if the waste Is a treatment residue of a previously restricted hazardous waste <br /> subfect to the Land Disposal Restrictions I centty 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 Pan 261 <br /> WASTE TYPE <br /> D DISPOSAL ZI SLUDGE <br /> ❑CONSTRUCTION D WOOD <br /> D DEBRIS IDOTHER <br /> ❑SPECIAL WASTE <br /> GENERATING FACILITY <br /> TRANSPORTER NOTES VEHICLE LICENSE NUMBER TRUCK NUMBER <br /> ADDRESS �{ ; / r~ E <br /> CITY, STATE,ZIP <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN Y DRUMS <br /> r � � <br /> ❑ ❑ ❑ <br /> 1 r1 <br /> CUBIC YARDS <br /> I hereby certify that the above named material has been <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 /> :1 SOIL <br /> REMARKS <br /> ❑ CONSTRUCTION <br /> FACILITY TICKET NUMBER DEBRIS <br /> =1 NON-FRIABLE <br /> ASBESTOS <br /> SIGNATURE OF AUTHORIZED AGENT DATE <br /> J WOOD <br /> - D ASH <br /> D SPECIAL OTHER <br /> SCHEDULING MUST BE MADE PRIORTO 3 00 P 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 /> SALES COP'% MANIFEST# 35862 <br />