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ED <br /> elle "Coffin S uttr m Mountain [".,'New'—,, island 7C.:Forward <br /> Sanitary Landfill Landfill Sanitary i..andt li San�,'y Landfill Landfill <br /> '72 Coff�ln 101 >;€: .6 5� ����+ a t3 <br /> P.ki£>t uu g. CA 4_456,) s�4�� ...5. CFS �.3 3� t i:gea nv4 ..t.Es£i �-� .�r <br /> ?° rt�t 5a CA £ '� <br /> a h 3r�f i s <br /> 726 1€.IQ F (2091 S-92-4 <br /> _ €°. €.sx f�?,�tt� ��; :r.�,_. Fax Da; <br /> GENERATORNON-HAZARDOUS WASTE MANIFEST <br /> WASTE <br /> _-. <br /> � <br /> M !UNG ADU ESS <br /> ACCEPTANCE <br /> _.._.___ __ <br /> 0T . STATE, Lf' PERSONAL PROT_E,- <br /> CTN_E.. <br /> EOIJMP,4_T <br /> LFs _) GOGGLES jPFPfRA0FVIiA�r) _H <br /> P�ia( _ <br /> E <br /> _ . <br /> TY-`,;EK ..#SAFETY VEST <br /> G i ACT PERSON' <br /> _ __ -- <br /> SIGNATURE ATU! LSF At 'H WED AGENT TM-e DAT <br /> x r AND PF 4he ibaSia»E�a is�nsan®nt a�s,�f a>ffi rx�s�9ryvi4ti�Fy rasxlricd�rl h��se'eSau�eu,�taEm <br /> { Hy i tRECEIVING <br /> pdIN( Cq` }ll <br /> ....w r.--..-..,_-•- <br /> k <br /> WASTE TYPE <br /> J CONSTA156..16'x'°; <br /> :1 SPECIAL WAS71 _ .. _.______. _ _. ._._.. _ .... <br /> CzFtIEFtkTlPlCa F,1C`il lfl <br /> 20sw South Bog.I 7Now <br /> 1 <br /> TRANSPORTER PORTER _ _. G : _VEHICLE�LiCEP-_LE,. NUMBER' T�� �4 NUMSE S ... <br /> _ <br /> ADDRESS <br /> moi. - ---�---__. .__.._ _. _a..d.. _ ........ <br /> F'HO, C END DUMP 60TTGN', Dl3MP TRANSFER <br /> a1CRATLI E F, A'ITH0R1Z 0'R 51VE€j 1 C}AT1= ROLL-OFF(S) FLA� BED VAN CSR[ 'IF <br /> .._...r. . ._..._. .._... _r <br /> E3 I YARDS <br /> _..........._................... <br /> hereby certify that the above named material has been <br /> accepted and to the best.of my, knowledge the foregoing <br /> is true and accurate. <br /> C17�SPOZEAL Mir l °103 [T 9)E CW LE 1E[C rav L_ <br /> d D I S P 0S-9 OTHER <br /> _. _..�._...................... - _.._nnnm_._ � <br /> on <br /> J CON STF tULa'JNI <br /> ...___,.. __. ... .. ,. .._ ...�.....,._....,_ ... _....... 1 .-.A P4011b�RA'_--i F <br /> �I ATilf A TFI t <br /> J ds' <br /> SCHEDULINiZ MU!l T St M4JDEPR IOR T-0 3tOO PMTDAY PRIOR TO EXPECTED A MAI ANY UNSCHFOULED LOADS ARE SUBJECT <br /> TO REFUSAL N ARRIVAL, ONGO AI � DELI 1MUST ' UL IMIT 9 TH LA FILL.'tn DAYMEFOR . <br />