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❑,K,gljg6Zsnyon ❑ DxUountain ew <br /> Sanl*y'1andfill Sanitary,Landfill `Sanitary,Landfill K Landfill <br /> '901r,Bailey"Road 12310 San Mateo Road 1601 Dixon Landing Road 9999 S Austin Road <br /> Plttsburg,.CA'94565 Half Moon Bay, CA 94019 Milpitas, CA 95035 'Manteca,CA 95336 <br /> 3Phone`(925)'456-9800 Phone(650)726-1819 'Phone(408) 945-2800 Phone,(209)982-4298 <br /> Fax(925),458-9891 Fax(650)726-9183 Fax(408)262-2871 Fax (209)982-1009 <br /> i1��t�'HAZAR,DOUS WASTEMANIFEST <br /> GENERATOR KVASTE A��EpT�►MCE'J�I�. <br /> MAILING;ADDRESS <br /> ki 4EN <br /> OiT*!' TATE;ZIP REQUIRED=PERSONAL,PROTECT4E EQUIPMENT <br /> I ' S `' V ' JeGLOVES U GOGGLES U RESPIRAfiOR 0,HARD HAT <br /> PHONE <br /> (em-f - , j:3 TY VEIL U OTHER <br /> O01sIT TIPERSONSPECIAL HANDLING PROCEDURES <br /> SIGNATF <br /> URE. ,AUTHORIZED AGENT 1 TITLE 'DATE si l F, A t*pu� . <br /> ','� ENERAMR&CF_RnFICA�tON f ratrydar*y ttnat the above named meteriak s Mt a hazardous <br /> Lm <br /> 40'CPR P-0261 or ift 22 of the Calitomka code of regumons has been property <br /> hunble <br /> zrd�lEad�.dAsa;iadeandgpsdWed and IS In Proper condition for transportation a cordrng to aPP <br /> is+Wounglo*6suk°v1*Vre"bs*rosuict0di hazwOm In wa5tB RECEIVING FACILITY <br /> to the nd�iaPosal7dlstrietbr>s 1 oar*arriararrant that Ummasts,has leen veated <br /> ,4axadsnoe with the IeTjmnsnts o1+4D CFR Part 266 and s no longer a hazerdous waeta,as defined by <br /> 'rAD.CFR Part261 �n <br /> WAST'E`TY.PE O <br /> ,4'',CIIDISPOSAL 1 Q SLUDGE <br /> w U'GONSTRUCTION U WOOD <br /> Ix sDE$RIS U OTHER <br /> S�PECIALWASTE <br /> EF31,TING FACILITY <br /> FRANEA �'NOTES VEHICLE LICENSE NUMBER TRUCK NUMBER <br /> CITY.STATE,ZIP <br /> k & 1 , ' <br /> 'PHONE END DUMP BOTTOM DUMP TRANSFER <br /> 41 <br /> )551GNATURF,,QF AUTHORIZED AGENT OR DRIVER DATE AOLL-OFFS FLAT-BED VAN DRUMS <br /> f <br /> , a <br /> CUBIC YARDS �M <br /> t, hereby co-difythati6e=above-,named.material has-been <br /> rfi accepted and to the best of my knowledge the foregoing DISPOSAL METHOD (TO BE COMPLETED BY LANDFILL) <br /> Js true and accurate <br /> `` I DISPOSE OTHER <br />,r <br /> U SOIL <br /> r EMARKS U CONSTRUCTION <br /> DEBRIS <br /> FACIL'ITYTICKET NUMBER U NON-FRIABLE <br /> ASBESTOS <br /> SIGNATURE OF AUTHORIZED AGENT DATE POSPECI <br /> - <br /> rl * AL OTHER <br />' s?SI;HEDLILING Ml9ST'BE WADE PAIOATO 3.OQ P.M.THI=DAY PRIORTOEXPECTED ARRIVAL a ANY UNSCHEDULED LOADS ARE SUBJECT <br />� TO ,REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES 4JUST BE SCHEDULED WITH THE LANDFILL THE D�AY��1�RnE <br /> MANIFEST# G7 l,J <br /> GENERATOR COPY <br />