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El Keller Canyon ❑ Ox Mountain ❑ Newby Island ❑ Forward <br /> � qn t ry Landfill Sar' -ry Landfill Sanitary La,--'fill Landfill <br /> roy Road 123f d(n Mateo Road 1601 Dixon La�, goad 9999 S.Austin Road <br /> Pitfsbifrg,'CA 94565 'Y Half Moon Bay,CA 94019 Milpitas,CA 95035 Manteca,CA 95336 <br /> ' Phone(925)-X458-9800 y 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 /> ' GENE%&HASEENVIRO WASTE ACCEPTANCE N0. <br /> 4 <br /> MAILING ADDRESS <br /> 21937 veneman Ave, 08240 # 4519 <br /> ' CITY,STATE,ZIP REQUIRED PERSONAL PROTECTIVE EQUIPMENT, <br /> PHONE 0 GLOVES Q GOGGLES 0 RESPIRATOR Q HARD HAT <br /> ' Q TY VEK_ Q OTHER <br /> CONTACT PERSON <br /> ZileVS Lanmord SPECIAL HANDLING PROCEDURES: <br /> SIGN 0'RE OFAUTHORIZED AGENT 1 TITLE DATE <br /> 6' NERATdA'S CERTIFICATI N:I hereby certify that a above named material is nota hazardous <br /> waste as def ned by 40 CFR P 261 or title 22 of!h code of regulet�ona has'_beeG1 prppeAy, <br /> "'described classified'and parka' ,'and Is in prppe o dition for irarrsportaaon a-cording to applicable <br /> regulations,AND,If the waste is a treatment res34.Wof a previously restricted hazardous waste <br /> subject 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 281. <br /> WASTE TYPE; <br /> O DISPOSAL'" Q SLUDGE <br /> Q CONSTRUCTION Q WOOD <br /> ' O DEBRIS U OTHER <br /> O SPECIAL WASTE <br /> GENERATING FACILITY <br /> 3930 S. EI Dorado St-, Stockton CA <br /> ' RANSPORTER . NOTES: VEHICLE LICENSE NUMBER TRUCK NUMBER <br /> Manlev 8&Sons Tnickina. Inc, �.-- <br /> ADDRESS <br /> 8896 Eldar Creek Rd- <br /> ' CITY,STATE,ZIP <br /> ' PHONE rA 95898 <br /> END DUMP BOTTOM DUMP TRANSFER <br /> 011a 120.1 rl=l ❑ Q ❑ <br /> SIGN ORIZEDAGENTOR DRIVER DATE ROLL-OFFS FLAT-BED VAN DRUMS <br /> 71C ti � Z D <br /> ' CUBIC YARDS <br /> I hereby certify that the above named material has been 16 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 /> DISPOSE OTHER <br /> ' EMARKS Q SOIL <br /> U CONSTRUCTION <br /> FACILITY TICKET NUMBER DEBRIS <br /> ❑NON-FRIABLE <br /> - ASBESTOS <br /> 51GNATURE OF AUTHORIZED A135NTDATE <br /> Q WOOD <br /> ----� f "ASH <br /> Q SPECIAL OTHER <br /> SCHEDULING MUST BE MADE PRIORTO 3:00 P.M.THE DAY PRIOjeT0 EXPECTED ARRIVAL-ANY UNSCHEDULED LOADS ARE SUBJECT <br /> rO REFUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE <br /> � �4 DAY <br /> BEFORE. <br /> GENERATOR COPY MANIFEST# L <br />