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901 Ea!ley Hr),,�! -cl6 tart' Landfill ��L?fii11�Pj► �s�lyt.� 111 I=����i�lli <br /> RLItl Reread C S�1n M I leo Road ,r1 � <br /> Pits I1+.nt1, f �45b�� �11,�3f1r Dixon�elnrfint3 f,r»r! 9?9� A[IS(i I <br /> PhQilo (925) 1,r� 9t f)J `' H<}If boon Efay. CA 94019 d iiI ilas CA 950:35 �,lante'ca. CA'9� 35 <br /> ! !o? F (, i 1) 74.E?_0 i 8 PI lone (650) 726-1 R 19 <br /> Fax {925) 458 >891 !_=r. 1.5'rt' 7'15 3326 Phone, (.."081 <t5-^s',r;u Phone. (20 9) <br /> Fax (6501 726-D 183 FLx (468) 262-281`fo' <br /> (�r�r x`'09} _ ,, I 00 <br /> _ <br /> NON-HAZARDOUS WASTE MANIFEST <br /> GENERATOR <br /> CITYSTA.I"E - <br /> _ REQUIRE!] PERSONAL POTE CTIVE LC7L11P�lEIUT <br /> _ .� �_ <br /> PFJONP" <br /> c .;t .. ` WG-LOVES j GOGGLES -i PIE PI r^.TOR tJ HARD HAT <br /> CONTACT PERSQN� — ` -- J TY-VEI< 541 ETY'VETT <br /> ` SPECIAL HAfJDL.I�lG PRpCEDUaFS: ~i — <br /> SIGNATURE pF gU7I IORIZED AGENT/TITLE DATE <br /> GENERATOT,-CFRTICICA ElOhl-I h�rehy certify Ihat the above Warned ma{erra i5 not a h er:},nus <br /> "SIR as defined by 49 CFR Part 2G1 ur Tide 22 of the California code of raqulaflnns.Ira:boon IxOI"'rlg <br /> d j,1111 n :ANP. <br /> if and pacyag�7"and is in proper Condrtlon for transPoilaiion according in appficabla <br /> red�rlrilinns:Ahp,IP the vynn tie ly a tm-Im^nt ronldtx Of a pravloualy rsairlcted hrsxetbous wet;e <br /> suba'!to the L?l1d DispOo—11 Resiric.lions,1 ceClfy and warrens that itie I%a FIB has bsen healod in <br /> eCC.'"J'nou with Ilse requkrcrments pf 4P-C�t9 t�2.rt 269 and is np longer a hazardous riasin a5 delinsd h RECEIVING FACILITY <br /> 4Q r'FH Pan 2i!, y <br /> WASTE TYPE:Q DISPOSAL_ <br /> I�SI_U[?Czc <br /> iJ CONSTRUCTION F-1 MOOD - <br /> ,. <br /> 'J DEBRIS `-,x, <br /> SPECIAL WASTE OTHER i '-. - -- ----' -------_ ___ <br /> NERATINL� P"ACILITY ~—`— ------ <br /> TRANSPOFRTEI? � <br /> e a t o rracsaq t `i1111F <br /> — — NOTF-& VEHICLE LICE"I ISE NI,IFIBER TRUCK K MLI iBER <br /> ADD€-IESS� <br /> CITY, STATE, + <br /> -- <br /> END DUMP BO riO,M UUPIP - - TRANSFER - <br /> SIGNi1RE�OF AUTHORIZED AGENT On DRIVER GATE FOOL L <br /> r �_ _ <br /> --- OFFS) FLAT-6ED `JAN OFUMS <br /> CUBIC YARI?S - <br /> s <br /> I hereby certify that the Above tamed Ininterial has been <br /> accepted and to the best of my knowledge the foregoing '-- — ---- _ <br /> iS tMe and ar-etirste. DISPOSAL h'IETHI-7CJ: (TO BE COMPLETED BY LANDF-ILL) <br /> DISroSE OTHER <br /> REMARK -- SOIL <br /> l CONSTRUCTION � — <br /> FACILITY.TICKET NUM DEBRIS <br /> U NON-FRIABLE --- - — <br /> S GNATURE OF AUTHQRIZED AGENT -; — ASBESTOS <br /> -" — CJ wool <br /> U ASH . . <br /> Ga SPECIAI-OTHER <br /> �.'. A' 1 A,51V-:cif. . a! <br /> .� r f , A.S� f,��l r 1 „7-. '4 F .t'- 1, -4Ir t .!TCSZ.t¢:.l <br /> 1 l ` ,-•.E .r':r � ,if - _ l t i-... 1p � r�i.. a '.�t. <br /> GLNL! A-iOR CUP'( <br />