Laserfiche WebLink
.: O'Keiler Canyon ❑Coffin But#e-'' k F . <br /> s ❑ ,r I�I�Main ❑Nev+rby isiana <br /> Sanitary Landfill <br /> Landoll <br /> _ � 'm rj'1;hndf11 <br /> " <br /> 901 Bailey Road 28972 Co(fi�Sate Ftoaid .'-_.. ..1601 Dixon Landing Road ' <br /> fttaburg,CA 94565 CQNWIfs,-:,QR M lypoon Bey,CA 94019 Milpitas,CA 95035 <br /> Phone(925)458-9800 Phone X541) ° p.�P�'g0�726-1819 Phone(408)945-2�0e <br /> Fax(925)458-9891 Fax(54,1). Fez°($50)_ 26-9183 Fax(408)262-2871 Faic" <br /> f # ARDOUS WASTE MANIFEST , <br /> GENERAT(J <br /> WASTE ACCEPTANCE wQ ' <br /> MAIUNG AnRE--S--S--. -- 9W ¢w. <br /> 1.STATE KIP REQUIRED PERSONAL PROTECTIVE EQUIPMEN93304T <br /> PHONE _ <br /> dFGLOVES ❑GOGGLES 0 RESPIRATOR X HARD HAT <br /> ❑TY-VEK XSAFETY VEST <br /> i4CT'PERSON <br /> { SPECIAL HANDLINGPROCEDURES: <br /> SIGNATURE OF AUTHORIZED AGENT I-nTLE• DATE 1 <br /> �p <br /> Ci@IERATOft$CEfi17F1CA170N:I hereby certly ow ft above awned le net a has rdaup <br /> es dead by�0 CFR Part lei or ane sz of the CalMomis code of replRatlorm'his been <br /> desdfbad,"daaplled and pew'*M is In proper adndmw w flop a000rdry b6 <br /> } AM N ft vraala(i a ft*6bNwfl reekk a of• mw"ftedhamrooW <br /> �b Rn Lend Disposal ReeffloW ie.1 cerfHy acid warrant`h"been 16tad h <br /> .40 CFR Paft 261. auin nfaor4v{ ait�aar,aasrtt►�,aga,�#asi naow s �e key " Bl�,� lY FACILITY. <br /> ASTEF. <br /> a CONSTRUCTION ❑WOOD <br /> ❑DEBRIS ❑OTHER 1y h : ; 4 <br /> U SPECIAL WASTE <br /> G>rNERA7lNG FACILITY <br /> 5. X .ra, :xS <br /> * IlMe+lllllY JIM*Mir << <s�a�: m � <br /> +. f i r �, k a• d ,q, <br /> TRANSPO#TER � <br /> -92 Vau <br /> x <br /> ROOKNUMBtA <br /> CA Tw <br /> { , <br /> ADDRESS <br /> CITY STATE ZIP 45,F , <br /> PHONE--..- <br /> OTAM RUMP. - TRANSFER <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE <br /> . � :.:. FIAT-BEDVAN . DRUMS <br /> .;. ,, ate` ��� - Q ❑. ❑ <br /> - CUBICN�3b$ <br /> ..___._.. ._..... _........ --..__.. ..._..... ._..__._,:.-i...,.,�..._.. ;. ti ter;., <br /> I hereby certify that the above named material has been s <br /> accepted and to the best of my knowledge the f0mciing <br /> IS true and accurate. DIS " y D Rp E � E JEp BY LANDDFj.L) <br /> REMARKS r a. (3SOIL <br /> ❑ CONST :R , <br /> FACILITY TI ET NUMBER DEBRI9< <br /> C1 NON• <br /> 8E T <br /> SIGNATU E OF AUTHORIZE AG <br /> w, <br /> ❑ SPECIAL.O R. <br /> NEDULINO MUST BE MADE PRIOR 9&00 P.M.TNE DAY MOR TO EXPECTED 1FA7i r <br /> REFUSAL UPON ARRIVAL.ONOOING DAILY DELIVERIES MUST BE SGHEDUIL <br /> fiev 11/09 NS-024 TRANSPORTER COPY <br />