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% <br /> -JaIlUdy Lanaym Landfill SgnitAry Landfill Sanitary Landfill Lal�dfiil <br /> 901 Baile Road 28P"Coffin Butte Road 12310 San Mateo Road 1641 Dixon Landing Road 9999 S.Austin Road <br /> Pitts4urg,CA 94565 Cms,OR 97330 Half Moon Bay,CA 9401 Milpitas, CA 95035 Manteca, Cp,M36 <br /> Phone(925)458-9800 Phone(641)745-2018 Phone (650)726-1819 Phone(408}945-2800 Phone(2Cry) 982-4298 <br /> Fax(925)458-9891: Fax(54#)745-3826 Fax(650)726-9183 Fax(408)262-2871 Fax(203) 982-1009 <br /> NON-HAZARDOUS WASTE MANIFEST <br /> QE.ERATOR <br /> WASTEACCEPTANCE NO. <br /> ILING'ADbRESS <br /> C#TY:STATE zip REQUIRED PERSONAL PROTECTIVE EQtJIFWIEfT <br /> PHONE F IGLOVES 0 GOGGLES 0 RESPIRATOR X) HARD FIAT <br /> ACT PERSON 0 TY-VEK dSAFETY VEST <br /> ABlrar+ SPECIAL HANDLING PROCEDURES: <br /> NATIiR <br /> I E OF AUTHORIZED AGENT/TITLE DATE <br /> ;> <br /> r_ <br /> OENERATOR'8 CERTIFICATION:111er�py o�yy that the above ranted nmhw l Is ON a <br /> MNN ea d9Rnad by 40 CFA Ped 281 er 6Pofs P2 ai the Caftmia coda d+ePiMlla�s,hoe bions s <br /> dsbmted,dwelled and packaead and is In Proper cmalon br aanepo�tetlan a N.hams b <br /> Fiona; <br /> AND,v ON llrYta fi a tnetmht raeldw of a pnWoaelF inplelad hwrtlaui+reaM <br /> t0 dla Land Cle0osel Reatrlcttona,I cadltyrand warrant ftt Bw wwW hes bean trailed In <br /> 40 1� a nKF*wm of 40 CFR Pact 298 and is� a he jWm weata so d�nnad by RECEIVING FACILITY <br /> WASTE <br /> POSAL MIR©SLUDGE r <br /> O CONSTRUCTION. 0 WOOD <br /> 0 DEBRIS 0 OTHER + <br /> 0 SPECIAL WASTE <br /> Gi±NERATING FACILITY <br /> 2050 1104> T Y <br /> TRANSPORTER NOTES: VEHICLE LICENSE NUMBER TRUCK NUMBER <br /> ADDRESS <br /> A P <br /> CITY STATE, z!P • <br /> PHONE <br /> END DUMP BOTTOM DUMP TRANSFER <br /> SIGN TURE OF AUTHORIZED AGENT OR DRIVER DATE ° <br /> R LL-OFFS F(.AT-8E5VAN DRUMS <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, DISP SAL METHOD: (TO BE COMPLETED BY LANDFILL.) <br /> DISPOSE OTHER <br /> REMARKS 0 SOIL <br /> fiAGILITY,TiCKET NUMBER 0 CONSTRUCTION <br /> DEBRIS <br /> 0 NON-F [ABLE <br /> SIGN URE OF RUTH RtZED AGENT DTE ASB6S OS <br /> woo <br /> J 77, <br /> ASH <br /> a SP IAL OTHER <br /> EbIIL t�1Ue'r[;E MA IQR TO?t00 0.M.TIIE DAY PRIOR TO a�iCTtp ARRIVAL.ANY YN3CMaDlltictD LOA"ARM=Ufilit <br /> lIJtCT <br /> `"PON AMIVICL.ONOOINQ DAILY DELIVERIES MUST TIE SCHEDULED WITH THE LANDF LL TlIE.DAY II�OIRE,: <br /> , $024 w <br /> GENERiATOR COPY MANIFEST4x <br />