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`�rr��_f� � ApF �f` <br /> 3+ps:Fm r ,r[7. n�•s4 6;�. rtrra $ <br /> Sllel +Canyon `r k}L+fN �Il� oYn inFn tf 1 � Q <br /> .{ tr a 1YT/MT r4�� x - y` r5 O <br /> S nitay Landf Ii �:"';SanIta, LandfIII ' Sanitary Landfill In. <br /> 90]*Belie Road �12�1'b San Mateo Floadw - 1601 Duron Landing Road �_ 9999 S Austin Road <br /> Pittsburg,CA 94565 Haff Moon Bay,CA 94019 Milpitas,CA 95035 Manteca,CA 95336 <br /> Phone(925) 458-9800 -Phone"(650)726-1819 Phone(408)945-2800 Phone(209)982-4298 <br /> Fax(925)458-9891 Fax*0)726-9183 Fax(408)262-2871 Fax(209)982-1009 <br /> NON='IAZARDOUS WASTE MANIFEST <br />' GENERATit / '�n z-- 4c;,, 4 4 �T WASTE ACCEP4ZM_// P31K2�t <br /> MAILING ADDRESS <br /> CIN, STATE, ZIP,,/ REQUIRED PERSONAL P OT CTIVE EQUIPMENT <br /> 1Uj'4L Z-2 O GLOVES U GOGGLES U RESPIRATOR ❑HARD HAT <br /> PHONE y "::-7 "/ , -� <br /> U TY-VEK ❑OTHER <br /> CONTACT PERSON 14 SPECIAL HANDLING PROCEDURES <br /> 77 UU,7VX4-` <br /> SIGNATURE OF AUTHORIZED AGENT I TITLE E <br /> GENERATOR S CERTIFICATION 1 hereby certify that the above named material is not a hazardous <br /> waste as defined by 40 GFR Part 261 or title 22 of the California code of reguietions has�teen property <br /> descObed cfassihed and packaged and to in proper condition for transportation according to applicable <br /> regulations AND if the waste is a treatment residue of a previously metrloftd hazardous west& <br /> subject to the land Disposal Restrictions I certify and warrant that the waste has been treated in RECEIVING FACILITY <br /> accordance with the requirements of 40 CFR Pan 266 and is no longer a hazardous wil as defined by <br /> _.CFR Part 261 (� <br /> WASTE TYPE <br /> U DISPOSAL 13 SLUDGE <br /> U CONSTRUCTION U WOOD <br /> ' CI DEBRIS �R = <br /> ❑SPECIAL WASTE <br /> GENERATING FACILITY <br /> &�40�6A-4- <br /> TRANSPORTERAIM NOTES VEHICLE LICENSE NUMBER TRUCK NUMBER <br /> 4,4 .A _n 7 <br /> ADDRESS - �? <br /> �-i -7' <br /> CITY, STATE, ZIP <br /> PHONE END DUMP a BOTTOM D MP TRANS5ER <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL OFF5 FLAT-BED VAN DRUMS <br /> �c CUBIC YARDS <br /> I hereby certify that the above named material has been <br /> accepted and to the best of my knowledge the foregoing DISPOSAL METHOD (TO BE COMPLFreD BY NDFILQ <br /> Is true and accurate <br /> DISPO E OTHER <br /> U SOIL <br /> ' FtEMARKS ' <br /> U CONSTRUCTION <br /> FACILITY TICKET NUMBER DEBRIS <br /> UNON-FRIABLE <br /> ASBESTOS <br /> SIGNATURE UTHO IZED AGENT DATE <br /> WOOD <br /> i U ASH <br /> U SPECIAL OTHER <br /> ' SCHEDULING MUST BE MA E PRIOR 3.00 P M THE DAY PRIORTO EXPECTED ARRIVAL*ANY UNSCHEDULED LOADS ARE SUBJECT <br /> TO REFUSAL UPON ARRI GOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEF3ORE- <br /> z ` MANIFEST "��4 6 all", <br />