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Newy Island <br /> ❑ Kollar Canyon CJ CoNln Butte OX Mountain <br /> ndfill ❑ Sanitary Landfill FX Forwalld <br /> Sanitary otto it Landfill Y <br /> 901 5$I10y Road 28972 Coffin Butte ROac 12310 San Mateo Road 1801 Dixon Landing Road 9488 S.Auatln Road <br /> P'.ttabarg, CA 94565 CorlAl':9, CR 97330 Hatt Moo'Bey,CA 64019 Phone 408 945 2800 Pt(209)9 242 <br /> . 98 <br /> P10110(9257 458.0900 Phone (54i) 745.2018 Phone (050)728.1819 ( ) <br /> Fax,400)282.2971 Fax (209}962-1009 <br /> Fax(925;458.9891 Fax(5411 745.3828 Fax 150) 726-0189 <br /> NON-HAZARDOUS WASTE MANIFEST <br /> GENERATOR WASTE ACCEPTANCE NO. <br /> Cardinmw Groin C:Malry <br /> MAILING ADDRESS 7714 <br /> ED PER O TELT IPMENT <br /> CITY, STATE,ZIP O GLOVES o GOGGLES O RESPIRATOR )I HARD HAT <br /> o,II,GOfAI <br /> PHONE OTY•VEK NSAFETYVEST <br /> - 79 <br /> CONTACT PERSON SPECIAL HAND ING PROCEDURES', <br /> T or <br /> SIGNATURE OFAUTHORIZED AGENT/TITLE DATE <br /> I <br /> GENERATOR'S CERTIFICATION:I Mna'y wr ity that the abo o Wood nalat�al Ie not a kWUaatll <br /> wNl,,,d,lln,dW 10CFRP,A 181 v 01974 d dr,Utornlaoodeal"WWI-I-Mah„nmmay <br /> o,tarCad,olewllNd antl pnrxaa,7,W�i h Props nonoRlm fCt 1r#nWOAaI an a'corArg atappyo,'.V, <br /> nluplwm;aN4ntn.Waw+e1l�tno, i oirii a.rdv.P'�Ran�oni°Mywuts nas hash ask," RECEIVING FACILITY <br /> Cattle, o 11,Lantl OLpaenl N <br /> eaorOMw wah thx ragtdtnr,anya de CPA Paa¢Baand hto:tl ,h„a'3aw w„N"011111110 b'i <br /> 40 CPR Nd n i <br /> WASTE TYPE; <br /> ❑DISPOSAL ❑SLUDGE <br /> 0 CONSTRUCTION ❑WOOD <br /> Q DEBRIS O OTHER <br /> O SPECIAL WASTE <br /> GE ERATING FACILITY <br /> 9504 south Haiti Road FRBNCH CAMP <br /> TRANSPORTER NOTES: VEHICLE LICENSE NUMBER TRUCK NUMBER <br /> Affied sate <br /> ADDRES <br /> CITY, A ,ZIP <br /> 3toddsn CA 912W END DUMP BOTTOM DUMP TRANSFER <br /> H <br /> SI F AUTHORIZ A ENTOR DRI R DA ROLL-FF SFLAT❑8ED O DRUMS <br /> CU81C A D <br /> v <br /> I hereby certify that the above named metarlal hae been <br /> accepted and to the beet of my knowledge the foregoing DISPOSALMETHOD: (TO BE COMPLETED BY LANDFILL) <br /> Is true and accurate. <br /> DISPOSE OTHER <br /> ❑ 4 <br /> EMARKS CONSTRUCTION <br /> DEBRIS <br /> FACILITY ICK T NUMB C NON-FRIABLE <br /> ASBESTOS <br /> SI ATU LITHO I DAGENT DA ❑µ/00D <br /> 7 ASH <br /> D SPECIaLOTHER <br /> SCHED QMUSTBEMADf:P TO 3: P.M.THEOAYPR10RT0EtP1:CTEDARRIVALaANYUN8CHEDULEDLOADBARESUBdECT <br /> TO REFUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANOFILL?NF l Ru FGRE, <br /> b';t9c 6 a�. J <br />