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Sanitary Landfill Sanitary Landfill Sanitary Landfill Landfill <br /> 901 Bailey Road _ 12 an Mateo Road 1601 Dixon Lqftg Road 9999 S.Austin Road <br /> Pittsburg,CA 94:,65 Ha on Say,CA 94019 Milpitas,CA 9 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(650)726-9183 Fax(408)262-2871 Fax(209)982-1009 <br /> NON-HAZARDOUS WASTE MANIFEST <br /> GENERATOR WASTE.ACCEPTANCE NO. <br /> 7 ELEVEN <br /> MAILING ADDRESS �340ts <br /> P.O.LOX 711 <br /> CITY,STATE,ZIP REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> DALLAS 7X•75221"0711 ❑GLOVES O GOGGLES O RESPIRATOR O HARD HAT <br /> PHONE <br /> 208-4,M8466 U TY VEK U OTHER <br /> CONTACT PERSON SPECIAL HANDLING PROCEDURES: <br /> JAFF I <br /> SIGNATU F;OF AUTHORIZED AGENT/TITLE DATE <br /> d ERATOR'S CERTIFICATION:i hereq ceruty that the abovq4med material is not a hazardous <br /> waste as defined aY 40 CFR Par4 261 or title 22 of the Califomi de of regulatkma,hes been properly <br /> da3tstfi�and packaged,and Is in proper ryrondition for trertsportatiwt a-cordirtg to applicable <br /> r�ulatkxis;AN ,h tltt waste Is a treatment residue of a prevlousty restricted hazmdotrs waste <br /> eub�ed to d,e Lend Dispo�l Restrictions,i cerfify and warrant that ins waste nae assn treat in RECEIVING FACILITY <br /> accordance wkh the requirements of 40 CFR Part 266 and is no kurger a hazardous waste as defined by <br /> 40 CFR Part 261. <br /> WASTE TYPE: <br /> ®DISPOSAL O SLUDGE <br /> O CONSTRUCTION ❑WOOD <br /> O DEBRIS ❑OTHER <br /> O SPECIAL WASTE <br /> GENERATING FACILITY <br /> G <br /> TRANSPORTER NOTES: VEHICLE LICENSE NUMBER TRUCK NUMBER <br /> ADDRESS �"" <br /> 9151 GERBER ROAD <br /> CITY,STATE,ZIP - <br /> SACRAMENTO,CA 95829 <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> 916-689-4 l <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL- f S FLAT-BED VAN DRUMS <br /> ? __. ❑ ❑ ❑ ❑ <br /> CUBIC YARDS <br /> Lhereby 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. <br /> DISPOSE "OTHER <br /> i .. ®SOIL i <br /> MARKS At O CONSTRUCTION <br /> FACILITY TICKET NUMBER rf, AkDEBRIS <br /> 0 NON-FRIABLE <br /> ASBESTOS <br /> SIGNATURE OF AUTHORIZED`AGE r DA <br /> ®WOOD <br /> ❑ASH <br /> 0 SPECIAL OTHER <br /> EDULING MUST BE MADE PRIORTO 3:00 P.M THE DAY PRIORTO EXPECTED ARRIVAL*ANY UNSCHEDULED LOADS ARE SUBJECT <br /> TO REFUSAL UPON ARRIVAL. ONGOING DAILY.DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> TRANSP �TER'COPY MANIFEST#228350 <br />