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Li Kwor Canyon LJCoffin ButteAiK oyntain Ci Newby Island ❑Forward <br /> Sanitary Landfill . Landfk j Sanitary Landfill JiltaI Landfill Landfill <br /> 901 Miley Road 28972 Cor�n'Butte Road 12310 San Mateo Road 1f01 Dixon Landing Road 9998 S.Austin Road <br /> Pittsburg,CA 94565 CorvatEis,DR 97330 Hail Moon Bay,CA 94019 MIIpbs,CA 95035 Manteca,CA 95336 <br /> Phone(925)458-9800 Phone(541)745-2018 Phone(650)726-1819 Phone(408)945-28W Phone 09)882.4296 <br /> Fax(925)458-.9891 Fac(541)746-3826 Fax(650)726-9183 Fax(408)262-2871 Fax(209)'982-1009 <br /> NON-HAZARDOUS WASTE MANIFEST <br /> GENERATOR <br /> WASTE ACCEPTANCE NO. <br /> MAILING ADDRESS <br /> CITY,57 <br /> PERSONAL PROTEC VE EQUIP NT <br /> REQUIRE <br /> PHONE OVES 0 GOGGLES a RESPIRATOR •-tYRARD HAT <br /> CONTAC . ERSON b TY-VEK -ZaKFETY VEST <br /> SPECIAL HANDLING PROCEDURES: <br /> 1GNATURE OF AUTHORIZED AGENT/TITL DATE , , <br /> -6 Toe's CERMCATfOr:f Narotiy otr*ON Ove above calmed mdbxW is e <br /> +Pepe se dek"by 40 CFR Pan 26t or fPAs 22 a the Calfomia code a f+ezardare .` <br /> ducMed,da"Med andpe� ane is in p qm Condlbn for t�onsum,`�°�`-eo,�y <br /> U*AHq,It the vi is were hmffl reeidee of a pravloU*reebislad hezmdeo weals. <br /> land DKposal RaeEdctia,e,f cerWy and wwmrd 901 910 waste has been tree <br /> ao mCFR*mW�1 he m**- nh a AQ CFR Pan 781 and la no kmW a hazardous weale". by RECEIVING FACILITY <br /> WASTE TYPE: ...t <br /> .$orsPOsAL a SLUDGE <br /> G CONSTRUCTION a WOOD .. -- <br /> o DEBRIS ©OTHER <br /> O SPECIAL WASTE <br /> GENERATING-FACILITY. <br /> 4's <br /> TRANSPORTER NOTES: VEHICLE LICENSE NUMBERI TRUCK NUMBER <br /> �.' <br /> ADDRESS � <br /> CITY,STATE,ZIP <br /> HO <br /> END DUMP BOTTOM DUMP TRANSi'ER_ <br /> SIG A E OF ORIZED AGE OR DRIVER DATE ROLL-0FF S FLAT-BED VAN DRLRAS <br /> CLUB YARDS <br /> I herebycertify that the above named material has been /esiv <br /> accepted and to the best of my knowledge the foregoing <br /> Is true-and accurate. DISPOSAL METHOD: (TO BE COWLETED BY LANDFILL) <br /> DISPOSE OTHER <br /> EMARICS. o SOIL <br /> o CONSTRUCTION <br /> I`ACILITYTICKET NUMBER DEBRIS <br /> 0 NON-FRIABLE <br /> SIGNA OF AUTHORIZED AGENT <br /> ASBESTOS <br /> U WOOD <br /> - <br /> �� ❑ASH ..a <br /> U SPECIAL OTHER <br /> ti .Ii�JSTBIzM pRIQRT .P.M;TI•IEDA�P"I(�$�1�(��`.TI:I)14AJ�LaANS1E1��1.Et=t,QAI*A � <br /> TQ $AL UPON ARRIVAL. t3NG 11NG DAILY DEL.IVEA1 5 MUST 11*16�IOWL913 �i4ITH.TkeLANbf lLL'f#I�L� , <br /> t , <br /> .. .,.tz�, .. . .... .. RBA KnICC�r .. � ., I�iv�a•�^-.t �,-y <br />