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r 5., <br /> AMPT <br /> .. `..rxxSS�r:,"'t'�f .. i y,tfs i'`y��i'. "'V40 l{is 4"'^`3iFh-' �.'"`I '��,. ` -ttt`�r h'�.,,�°'�a"t1`" ; wWy�. r �A_rrY�a,N � -� x u3 } r� 4} E island�d ,F04, `�*«r}=xt C3 r 'xlUotI'; rLandfill . 0. <br /> 1�= Si3n Lary,Landf�Il,«, Sapl#a dLandf, =x �`�; Sanitaiy ,� � n .= <br /> i „h� '9999 S Austin Road <br /> ' ' `�' `- 123 0 5a lV�aleo Road 1601 sQ xon Landing Road Manteca,CA 953$6. <br /> 1901 , ,' , ,�!� - <br /> n` Ittsburg,CsA 94565 Malt Moon Bay,CA'g4019 Milpl�ta ,CA 95035' phflne"(209)982-4298 <br />' Phone �fi)X458-9800 Phone (650)726-1819 Phone(408)945-28b0 Fax(209)'982-1 009 <br /> Fax(921,)=458-9891 Fax(650)726-9183 '" Fax(408) 262-2871 4 <br /> NON-HAZARDOUS WASTE MANIFEST <br /> GENERATOR - WASTE ACCEPTANCE NO. ' <br /> MAILING ADDRESS <br /> REQ RED PERSONAL.PROTECTIVE EQUIPMEIN <br /> CITY,STATE, ZIPS D GLOVES D GOGGLES ❑RESPIRATOR D HARD HAT <br /> PHONE 0 TY VEK D OTHER <br /> CONTACT PERSON SPECIAL HANDLING PROCEDURES <br />' SIGNATURE OF AUTHORIZED AGENT/TITLE DATE <br /> �L� <br />' GENERATOR S 74() <br /> 7Pan <br /> 709 <br /> 7WOmia <br /> ove named materiel�5 not a hazardous <br /> waste as defined ty <br /> la 00"of regulationshas beenP Interdown A8 cieasin for transportattan a^cording to aPPuglecttolhelaCnalthe vase, hasln�reatetl"ate RECEIVkNG FACILITY <br /> accordance with no longer a hazardous wasteas defined by <br /> 46 GFR Part261 <br /> WASTE TYPE <br /> ❑DISPOSAL D SLUDGE <br /> ❑CONSTRUCTION O WOOD <br />' O DEBRIS OTHER <br /> 0 SPECIAL WASTE - <br /> GENERATING FACILITY <br /> NOTES VE}#ICLE LICENSE NUMBER TRUCK NUMBER <br /> TRANSPORTER -� <br /> SP `t { Lq <br /> ' ADDRESS <br /> CITY, STATE, ZIP <br /> ' PHONE END DUMP BOTTOM DUMP TRANS R <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE WOLL�AFF S FLAT-BED VAIN DRUMS <br /> ' CUBIC YARDS <br /> 1 hereby certify that the above named material has been t <br /> accepted and to the best of my knowledge the foregoing DISPOSAL METHOD (TO BE COMP Et)BY LANDFILL) <br /> is true and accurate DISPOSE OTHER <br /> f ` ❑ SOIL <br /> ' EMARKS O CONSTRUCTION <br /> DEBRIS <br /> FACILITY TICKET NUMBER Q NON-FRIABLE <br /> ' ASBESTOS <br /> SIGNA E-OF O E GENT DATE O WOOD <br /> 5�r ❑ASH <br /> Q SPECIAL OTHER <br /> r .. RE UB.IEc <br /> SCHEDULING MUST BE MADE PRIORTO 3.00 P.M.TYI'tDELIVERIES MUST BE PRIORTO EXPECTED <br /> SCHEDULED WITH SHE LANDfLOADS <br /> O L E j) Y BIEFO�II <br /> TO REFUSAL UPON ARRIVAL. ONGOING <br /> DAILY _ AAANIFEST!� 41 <br /> 4 9 E3_ <br /> E - --- - , � <br />