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t Xeller Canyon E�Coffin Butts �"o Mountain EJ�� y I�lae�d � Forward <br /> Sanitary Landfill Landfi1; isl1,andf ill Sa: rY <br /> Landfill E andf' <br /> €3 iley Roar a89:7 cof!t: �Dni;-4 daj 12310 5�rt'��it�ta 160.? Dixon Landing Road � 990r')S:' <br /> Pr C sr C as v sir: t1':5. 7 3 u r��%l Asn; may- .2' t AA€C a=t , CA 559 4 rtes A 41 .. <br /> r�c�rr 05.)45a.-48W Phone ('41 7<D-2U1� �� �i��tJ�.72� t81� 1�hs�n�t�t�aj 21303 €"gcir� 1209;982-4�r�� <br /> Fox {926)458---,"l Fax 1541) 74--:.q�92i3 Fax.(0'n) 262 td Fax 6) 2.2971_ Fw'. <br /> N -HAZARDOUS WASTE MANIFEST <br /> ON <br /> HEPATO .. . <br /> — WASYEACCEPTANCE NO, <br /> MAILIN <br /> 20'W'Saakh 11011k TVr, "01 <br /> CLT Y;ST4TE-.71P REOU QED PERSONAL PSOTECTIVE EQUIPMENT <br /> PHONE. <br /> 'j Tyv <br /> EK �XSAFETY VEST <br /> �.�C% —TC`T`� ��r� <br /> SPECIAL NDLIN €SCI <br /> THomzrzt)AGENT!TMLE -DATE, <br /> d <br /> ��f �i�'T $Cs C ,f�;€Y�1GFt�Y"P�'9 h:�i€�Cy rq;x4elg X13;tib�€�4???'3d3Ps' -m�9e�t�9P 7�7t,?9 trq,tiJS; :. - <br /> -_ 3�.�3�4�9zri �j:d[}�`y�Fi � tt.`a.�'7 c',d t(![tt.2'%aE i�4�f��➢91�f'" ��3`�?`!.�I�§. Z"'�93�fist,Ysl�f�t�I GL��-�i$J _ - .. <br /> f^Wi p€h:=e - <br /> mi;AMCky ff,mo watts fir a est s Mw4ou4ty r $4ed <br /> sa11)ft reivy,,�r_^orss r 4r�,r "P101 A p <br /> REMV1W FACILITY <br /> WASTELI,YPE <br /> JCONSTAUCTIQN J V!{00: <br /> _ <br /> v1€7i1S } <br /> 6T' HER <br /> p3$PCIAt'WASTGENERATING FAGILITY' <br /> TRANSPORTER' NO <br /> OCENSE t4vmBEA TRUCK NUMBER <br /> ' <br /> PTY, TAT 1tP <br /> PHONE ........... ND DUMB' BOTTOM DUMP <br /> TRA ,5FE�t <br /> t ATUR OF AUT CRIZEb AGF-NT 0—R:DRIVER DAT 'LL-OFFfS) FAT-BED VAN DRUM$ <br /> J <br /> � <br /> CUBIC YAFtD - , <br /> hereby certify that the above named material has err 1 <br /> amepted and to the best of my kno the f r (n R)M POSAL (TO BECOPLETED BY Lia sORLO <br /> ig taus and atcura`e,FAMW . . . <br /> DISPOSE OTHER <br /> REMARKS <br /> SC{ T1J3NCN-FRIABLL <br /> U ._ <br /> BSTC <br /> �m <br /> e <br /> I �® <br /> 'SIGNATURE OF AL17HOR14EO AG,, DATE <br /> I <br /> 3�HEVUMNO MUS" ? P JO .To 3;0 "" .TH E DAY PRIOR1O IXRECTEDWAL-ANY UNSCRIEWLED LOADS ARE SUSJECT <br /> TO'RE WSA L LIPO N A. flvAL, 0 N4 O�NC.0Al LY DELA VEM9$MUST L.ZO WTH TRE LAWOFJk L THE OA's 8 E FOAE, <br />