ARCHIVED REPORTS_XR0008890 - Laserfiche WebLink

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r r ��r .s ' r`'`,,�Y� k.g� .- r ,lyr a i f �t� e arh a .L„�4i�t.- � r' ar Y ur'yNa r .� Y1� z'e E t �+d w< A\ w�y Island ��''t�,la�iM-� Sancta zLa'ndfiII to 5 i x" s C }! r,c�y y o01�1�a� G'tz Y ry;Landfill.a 1 ; f F`/ `.. Sanita Yt 'wW"v�ia^ F,1 sol Galley�'oa� ^ ;,��"� �zi'o sa � ato Road =a �Y �andf111 Landfill "y160i Dixon Landing Road 9999 S Austin Road Pittsburg,CA'94565 Ha1f`M0or'Bayw'CA 94019 .'Milpitas,CA 95035 Phone (925)458-9800 Phone (650)726-1819 Pho6e'(408)945-2800 Phone a, C 95336 Fax(925)458-9891 Fax(650) 726-9183 Fax(408) 262-2871 Fax Phone (2 982-1822 )98 NON-HAZARDOUS*ASTE MANIFEST � 1 I GENERATOR � WASTE ACCEPTANCE NO. MAILING ADDRESS CITY, STATE, ZIP REQUIRED PERSONAL PROTECTIV QUIPMENT PHONE U GLOVES ❑GOGGLES ❑RESPIRATOR O HARD HAT CONTACT PERSON U TY VEK O OTHER SPECIAL SIGNATURE OF AUTHORIZED AGENT/TITLE DATE HANDLING PROCEDURES GENERATOR S CEFMFfCATION t hereby certify that the above named material is not a hazardous i waste as defined by 4o CFFt Part 261 or atle 22 of the Caldorrna code of regulations has been property described dassiaed and packaged and Is in proper condition for lransportabon a cording to applicable regulatlons AND,If Ow waste Is a treatment residue of a previously restricted hezalydous waste Subject to the Land Disposal Restrictions I certify and warrant that the waste has been treated in accordance with the requirements of 40 CFR Pan 266 and is no longer a hazardous waste as defined by RECEIVING FACILITY I 40 CFR Part 261 WASTE TYPE ❑DISPOSAL ❑SLUDGE l ❑CONSTRUCTION ❑WOOD ❑DEBRIS Cl OTHER ❑SPECIAL WASTE GENERATING FACILITY TRANSPORTER NOTES VEHICLE LICENSE NUMBER TRUCK NUMBER ADDRESS P L _� CITY, STATE,ZIP PHONE -- -- - -- ----- ---� _ _END DUMP ==- BOTTOM DUMP --`TRANSFE SIGNATOR UTHORIZED AGENT OR DRIVER DATE L) ❑ ROL Ll S t F6AT BED VAN D MS CUBIC YARDS ' I hereby certify that the above named material has been - - - accepted and to the best of my knowledge the foregoing Is true and accurate DISPOSAL METHOD (TO BE COMPLETED BY LANDFILL) DISPOSE OTHER REMARK S ❑sorL , U CONSTRUCTION FACILITY TICKET NUMBER DEBRIS ❑NON-FRIABLE SIGNATURE O UTD E ASBESTOS U WOOD f v sP crAL OTHER SCHEDULING IMOS Y,81E MADE PRIOR TO 3:00 P M.THE IJAYPRIORTO EXPECTED�ARRIVAL-ANY UNSCHEDULED LOADS ARE SUBJECT �+ TO REFUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL TIME DAY BEFORE.