ARCHIVED REPORTS_XR0008890 - Laserfiche WebLink

Home Browse Search

saw `lat '"a'ar 3 •>• •■■' ■ 4 c ,. +lr+' k r7ar, as �� 4pi_t r r v sees■ h s rr as u �1r�la s� xtiTv' at:r kdkfa#Ahrtt�r `: l �ra■fil`8 : C iF 'e e 3 Ali ,r r "d. n' J' �r ar�dll San tarY, L"� �!#ii! Sanitary Landfill' La d #il ter" ,e �'�� ".. ,� 'e v q as eyl', r%>YS - Y �a�rx*' avt k .. ., 501�Bailey��bad.Ui ', j , "`12310 S I MMateo�Road 1'BOi Dfxon Landing Road 9959 S Austin Road Plttsbfirg,}CA945G5A1, - , HalfMoor},B, y, G`A94019, Mdpitas;`Ci495035" v , Manteca, CA 95336 Phone (925)458-9800 Phans(854)728-1819 Pho6er(40%945-2800 Phone(209)982-429 Fax(925)458-9891 Fa;�(650)726-9183 Fax(408)262-287120(209)982-1009 NO9-HAZARDOUS WASTE MANIFEST GENERATOR WASTE ACCEPTANCE NO. r I s / ^ MAILING ADDRESS r 10�11 CITY, STATE, ZIP REQUIRED PERSONAL PROTECTIVE EQUIPMENT - � ❑GLOVES U GOGGLES ❑RESPIRATOR ❑HARD HAT PHONE CONTACT PERSON ❑TY-VEK ❑OTHER r SPECIAL HANDLING PROCEDURES SIGNATURE OF AUTHORIZED AGENT 1 TITLE DATE - * so / c GENERATOR S CERTIFICATION I hereby cerbty that the above named material is not a hazardous waste as defined by 40 CFR Part 261 or title 22 of the California code of reguiatrons has been properly described classified and packaged and is in proper condition for transportation a'cordirg to applicable regulations AND,it the waste is a treatment residue of it previousty restricted hazardous waste subtect to the Lend Disposal Resinctions 1 certify and warrant that the waste has been treated in RECEIVING FACILITY accordance with the requirements of 40 CFR Pan 268 and is no longer a hazardous waste as definod by 46 CFR Part 261 WASTE TYPE ❑DISPOSAL ❑SLUDGE ❑CONSTRUCTION ❑Vy0OD ❑DEBRIS R O SPECIAL WASTE GENERATING FACILITY TRANSPORTER NOTES VEHICLE LICENSE NUMBER TRUCK NUMBS f � a , ADDRESS CITY, STATE, ZIP , PHONE .END DUMP - - BOTTOM DUMP-- TRANSFER— SIGNATURE OF AUTHORIZED AGENT OR DRIVER_s_� DATE__- ROLL-OFF(S --FLAT-BED -- VANS-- DRUMS= CUBIC YARDS hereby certify that the above named material has been , accepted and to the best of my knowledge the foregoing DISPOSAL METHOD (TO BE COMPLETED BY LANDFILLS - Is true and accurate. - - - ' DISPOSE OTHER REMARKS ❑SOIL ❑CONSTRUCTION , FACILITY TICKET NUMBEFV DEBRIS ❑NON-FRIABLE SIGNATURE AUTHORI D/GENT DATE ASBESTOS ' ❑WOOD C ❑LASHmin01 ❑ LOTHER ' SCHEDULING MUST BE MA L PRIORTO 3.00 R . HE DAY PRIOR EXPECTED ARRIVAL:ANY UNSCHEDULED LOADS ARE SUBJECT TO REFUSAL UPON ARRI L. ONGOING lLY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. ' MANIFEST 4368 1 ' _ 1,G»RATORCOP,�Y J %` x r ;