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El Keller Canyon 711 Ox "ountain El Newby Isle ' 171 Forward <br /> Sanitary Landfill S4&,ary Lan dfillSanitaryA Mill Landfill <br /> 901 Bailey Road 121ffSan Mateo Road 1601 Dixon ng Road 9999 S.Austin Road <br /> Pittsburg,CA 94565 Half 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 /> Fgkx(925)458-9891 Fax(650)726-9183 Fax(408)262-2871 Fax(209)982-1009 <br /> NON-HAZARDOUS WASTE MANIFEST <br /> GENERATOR —t y. WASTE ACCEPTANCE NO. <br /> MAILING ADDRESS <br /> CITY,STATE,ZIP REQUIRED PERSONAL PROTECTIVEVOUIPMENT <br /> 14rPLOVES U GOGGLES U RESPIRATOR 0.HARD HAT <br /> PHONE <br /> CONTACT PER SON 0 TY-VEK U OTHER <br /> SPECIAL HANDLING PROCEDURES: <br /> SIGNATURE OF AUTHORIZED AGENT TITLE DATE <br /> GENERATOR's CERTwickibm i hereby certify that the above named rnaterial is not a hazardous <br /> waste as defined by 40 CFR Part 261 or We 22 of the California coded regulations.has been properly <br /> described,classified and packaged,and is in proper condition for transportation ar=rding to appficable <br /> regulations;AM N the waste In a beabn*M residue of a previously restricted hazardous weeft <br /> Subject to the Land Disposal Restrictions.I certify and warrant that the waste has been treated in RECEIVING FACILITY <br /> accordance with On requirernents of 40 CFR Part 268 and is no longer a hazardous waste as defined by <br /> 40 CFR Part 261. <br /> WASTE TYPE' <br /> U DISPOSAL U SLUDGE <br /> 0 CONSTRUCTION U WOOD <br /> 0 DEBRIS Q OTHER <br /> Q SPECIAL WASTE <br /> GENES NG FACILITY <br /> TRANSPORTER NOTES: VEHICLE LICENSE NUMBER TRUCK NUMBER <br /> 7 1 T", <br /> t' P, <br /> ADDRESS 7 <br /> CITY,STATE,ZIP <br /> PHONE END PUMP BOTTOM DUMP TRANSFER <br /> C� <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFE(S) FLAT-BED VAN DRUMS <br /> 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 COMPLETED BY LANDFILL) <br /> Is true and accurate. DISPOSE OTHER <br /> U SOIL <br /> REM"F1 U CONSTRUCTION <br /> DEBRIS <br /> FACILM TICKET NUMBER U NON-FRIABLE <br /> ASBESTOS <br /> SIGNATURE OF AUTHORIZED AGENT DATE <br /> Off® <br /> U ASH <br /> Q SPECIAL OTHER <br /> SCHEDULING MUST BE MADE PR *O&W P.M.THE DAY PRIORTO EXPECTED ARRIVAL-ANY UNSCHEDULED LOADS ARE SU13JECT <br /> TO REFUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST,BE SCHEDULED.WITH THE LANDFILL THE DAY BEFORE. <br /> MANIFEST# 30541 <br /> RAI R%C%XWV <br />