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WE;,.CONTRA COSTA SANITARY LAI Tfll-L <br /> P. O. BOX 4020 `"01 <br /> Richmond, CA 94804-0020 <br /> The attached Waste Disposal Request/Information Form has been approved for disposal <br /> at the West Contra Costa Sanitary landfill with the following conditions: <br /> 1. Approved waste is accepted Monday through Friday between the <br /> hours of 8:00 AM and 2:00 PM ONLY. <br /> 2. An appointment for disposal must be made at least 24 hours in <br /> advance by calling Rand Thomas at 233-8810 between the hours <br /> _of 7:00 AM and 9:00 AM Monday through Friday. <br /> Loads arriving without prior approval or appointment will be <br /> rejected. <br /> 3. Approval for disposal is valid for a period of 30 days. After that <br /> time it will be necessary to reapply for acceptance. <br /> 4. When calling with any questions regarding this Waste Form please <br /> refer to the Profile Number on the first page. <br /> JUN-21 -90 THU 14 : 09 R I CHMC]NI7 SANITARY SERVICE P . 03 <br /> RECEIVED <br /> J U L 0 2 1990 PROFILE NO.qo.W q <br /> ENVIRONMENTAL. HEALTH WEST CONTRA COSTA SANITARY LANDFILL <br /> PERM IT/SERV"6STE DISPOSAL REQUESTANFORMATION FORM <br /> 1. • GENERATING FACILITY NAMMDRESS: ���., <br /> kry 1J <br /> 2. CONSULTANT (#f any) �T) <br /> Name: Telephone: 9 -N2-21116 <br /> 3. WASTE NAME: <br /> 4, ANTICIPATED VOLUME: IS CU, - DELIVERY PERIOD: <br /> U (Per day, week, one-time only) <br /> S. TRANSPORTATION FIRM: <br /> B. TYPE OF TRANSPORT TRUCK: 10 C Semi-end Double bottoms LEJ <br /> Single bottom ° Drop box , "l Individual Containers .'9 <br /> 7. METHOD OF PAYMENT: Check EMM Cash ElCharge I J Purchase Order U ! <br />