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L-,e.QifCf 4an on luronin Butte �]+fix Mountain <br /> Sanita ❑Newby Island Ft,r1lfard <br /> ry.a.atttlll Lil Sanitary Landfill <br /> 901 Bailey Road V Sanitary Landfill Landfill <br /> — <br /> 289 offln BURG Road 12310 gan Mateo Road 1801 Dixon Landing Road <br /> Pittsburg, CA X45$5 COM1118,OR 97330 Half Moon Bay,CA 94019 Mifpitae,CA 950358 9998 S.Austin AO,ad <br /> Phone (925)458 9800.. Phone(541) 745-2018 Phone(650}728-1819 Phone(408)945-2800 Mahle a,CA 82288 <br /> Fax(925)458-9894 Fac(541) 745-3826 Fax(650)726-9183 Fax408 <br /> ( ) 262-2871 Fax(209)982-1009 <br /> NOWHAZARD-Mt WASTE MANIFEST <br /> ` AIERATOR <br /> DRESS <br /> WASTE ACCEPTANCE N0. <br /> ILING AD9 <br /> CIfiY <br /> STATE Lit, <br /> 041 REQUIRED PERSONAL. PROTECTIVE EG?t11i�h <br /> I;�iT <br /> . S <br /> PHONE dKGLOVES' ❑GOGGLES 1]RESPIRATOR X2HA�f�iD HAT <br /> .CONTACT PERSON O TY-VEK ,SAFETY VEST <br /> SPECIAL HANDLING PROCEDURES; <br /> SIGNATURE OF AUTHORiZ 17 AGENT/TITLE DATE <br /> fdErll fiR70R S CER71FiCAFiON:!hambY cartl�y Thal ria abov named m is trot a tfazaitlot�s <br /> "Was dd-d by 40 CFR Pan 281 or ft 22 of M CMlamla code 4f rey�legpne.has bean <br /> dno fm d.dueftd and pWm9s4 and is in pmw corbxicn far hrgmftson ao wft to ifs <br /> t,duhtlane;AMU,if do n,eb is a haahn"'ra"M of a pr6VWW1y!eaMOM hanrdmm wftW <br /> u,0 Land Dtepoeat nem&ons,i ceruy and warrant that the wast,hes been <br /> N CFF1 Pan �t•�a 40 OFR Pan 288 and rs W ionoar a N=done waeb d ,•d by RECEIVING FACILITY <br /> WASTE TYPE: <br /> MOPOSAL ❑SLUDGE ... <br /> NSTRUCTION Q WOOD <br /> F;; l al'zIRfS 0 OTHER <br /> „. :.Q`.-SPECIAL WASTE <br /> fiaEfJ RATING FACILITY <br /> 203M 8 Bally JM <br /> TRANSPORTER NOTES: VEHICLE:LICENSE NUMBER TRUCK 14UMBER <br /> ADDR SS <br /> r 147 <br /> CITY STATE,ZIP <br /> -CA N.57,41. <br /> PHONE <br /> END DUMP BOTTOM DUMP TRANSFER <br /> S"NATURE Of=AUTHORIZED AGENT OR DRIVER DATE ROLL-OFF S - FLAT-BED VAN E3R'JMS <br /> CUBIC YARDS <br /> I 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. DISPOSAL,METHOD: (TO BE COMPLETED BY LANDFILL.) <br /> DISPOSE OTHER <br /> REMARKS Q SOIL <br /> 0 CONSTRUCTION <br /> FACILITY CKET NUMBER DEBRIS <br /> O NON-FRIABLE <br /> SIGNAT RE OFt4UTliORIZED GENT-.��.. DAT r' ASBEST 5 <br /> E7 W D <br /> SFE <br /> O SPECT .L O EA <br /> wlOi'F SR RIADR PRIOR P.M-TME DAY PlIlOi11 Tb VIII TEDARRIVAL•ANY UlIs1CII1RDULED LOAM . <br /> lt.`tlPDi!AORIVAL.ON OI DAILY Dl LlV1 I�!!�MU EiIiEE �1I �11L 11 WITl1 T IE LANDFILL 7`I �1 1 <br /> r_t:P ild A. 0 1+nbiv- .. MANfFFST OI <br />