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„W, %,d111urtLJLPvTTln nutte ❑Ox Mountain . ❑Newby Island ForWartl <br /> Sanitary Landfill Land' <br /> Sanitary Landfill nitary Landfill Landfill <br /> 901 Bailey Road 28972 4Butte Rl3ad <br /> 12310 San Mateo Road Q01 Dixon Landing Road 9999 S.Austin Road <br /> Pittsburg, CA 94565 Corvallis, OR 97330 Half Moon Bay, CA 94019 Milpitas, CA 95035 Manteca, CA 95336 <br /> Phone (925) 458-9800 Phone (541)745-2018 Phone(650) 728-1819 Phone (408) 945-2800 Phone (209) 982-4298 <br /> Fax(925) 458-9891 Fax(541) 745-3826 Fax (650)726-9183 Fax(408) 262-2871 Fax(209)982-1009 <br /> NON-HAZARDOUS WASTE MANIFEST <br /> GENERATOR 0WASTE ACCEPTANCE NO. <br /> M (LING ADDRESS <br /> 20.1 scnylh Hul <br /> CITY, STATE, ZIP REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> PHONE CXGLOVES ❑ GOGGLES ❑ RESPIRATOR 30 HARD HAT � <br /> ❑ TY-VEK CFSAFETY VEST <br /> C N ACT PERSON <br /> SPECIAL HANDLING PROCEDURES: <br /> SIGNATURE OF AUTHORIZED AGENTTTITLE DATE <br /> I <br /> �k <br /> GENERATOR'S CERTIFICATION:i hereby certity that the shove named material Is not a hazardous <br /> waste as defined by 40 CFR Part 261 or title 22 of the Califomia code of regulatioris,.has been properly <br /> described,classified and packaged,and is in proper condition for transportation according to applicable ;< <br /> regulatlons;'AND,If the waste is a treatment residue of a previously restricted hazardous waste - <br /> subject lolholand Disposal Restrictions,I certify and warrant that the waste has been treated in <br /> '..accWance'tNith'lhe requlrements of 40 CFR Part 266 and Is no longer.,a.hazerdotls w ste as dQflned by._ RECEIVING FACILITY <br /> 4U CFR part 261 y a t <br /> -, - <br /> WASTE. PE <br /> ISPOSAL110 ❑SLUDGE, r <br /> ❑CONSTRUCTION CJ WOOD �� k ` , I <br /> ❑DEBRIS ` r ':` 'C$.OTt°EER. <br /> ❑SPECIAL WASTE <br /> GENERATING FACILITY y <br /> 20500 South H00y DaAve TRACY f <br /> TRANSPORTER NOTES: VEHICLE LICENSE NUMBER TRUC�K^-NUMBER <br /> ' ADDRESS <br /> { <br /> CITY, STATE., ZIP <br /> LO&CA 95241 <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> ❑ ❑ <br /> SIGNATURE OF AUTHORIZED AGENT.OR DRIVER DATE R01L-OFFS FLAT-BED -VAN DRUMS <br /> ❑ ❑ ❑ ❑ <br /> CUBIC YARDS <br /> hereby certify that the above named material has been <br /> accepted and.to the best of my knowledge the fore <br /> galRg <br /> Is true and accurate. DISPOSAL METHOD: (TO BE COMPLETED.BY LANDFILL) <br /> DISPOSE OTHER <br /> REMARKS 13-SOIL <br /> ❑ CONSTRUCTION . <br /> I , <br /> FACILI TICKET NUMBER DEBRIS <br /> f Ct NON-FRIABLE <br /> - A ESTOS <br /> SIGN TUR OF AUT RIZED_.vgUE T.. DAT <br /> f f J ✓.` VAS <br /> , <br /> 6 SP CIA' OTHER x, <br /> EI ING MUST 13E'M t�E ]ONTO 3:00 IP.M.THE DAY PRIOR TO EXPECTED ARRIVAL.ANY UNSCHEDULED LOADS ARE SUBJECT <br /> 5AL UPON Al l AL.(ONGOING DAILY_ DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL;THE DAY'BEFO#iE` - <br /> 5 024 `MANIFIST# <br /> GENERATOR COPY .l <br /> t <br />