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_. wv I 2091 atsc+�.... <br /> fi'I Milpitas,CA 95035 Fax(209)982-1009 <br /> ,`, .. 12310 San Mateo Ro p19 Phone(408)945-2800 <br /> Salle Half Moon Bay,C 408 262-2871 <br /> 85 Phone(650)' Fax( ) <br /> 800 726.918 <br /> s(�25)4'51 Fax(650) <br /> -HAZARDOUS WASTE MANIFEST PIANCE NO. <br /> .. NON WASTE ACCEPTANCE <br /> ATORERSONAL PROTECTIVE EQUIPMENT <br /> N <br /> G ADDRESS REQUIRED P ®RESPIRATOR O HARD HAT <br /> 11_ p GLOVES u GOGGLES <br /> ;TATE,ZIP O OTHER i <br /> T)C.76Y V <br /> 21.1-0714 p TEK <br /> SPECIAL HANDLING PROCEDURES: <br /> ACT PERSON DATE <br /> ZED AGENT(TITLE <br /> ATUR OF AUTHORI <br /> i <br /> "l varied material is not a haI S <br /> oeAiy that the .i code of regulations,has been P��b e1 � <br /> g'lasspy qo CFR PaA 261 e 22 of the3eroo alt or trans he <br /> a he Urdws <br /> rktea MNG FACILITY , <br /> 'elA"D.Ids packaged,and is t eTlec i nprw"t the $rite as n RECEIVING <br /> waste to defined by <br /> A011005* <br /> I�ot towoo* Ial ;ts Ot 400 CFR F 28E and is no <br /> CMPaA,261• <br /> $TE TYPE' O SLUDGE <br /> p DISPOSAL. O WOOD <br /> Q CONSTRUCTION p OTHER °j- <br /> p DEBRiS <br /> O SpEDIAI WASTE TRUCK NUMBER <br /> ERATING'FACILITY <br /> MBER <br /> NOTES: VEHICLE LICENSE NU <br /> C. <br /> TIAA A t�ti: <br /> DRESS8ER TRANSFER <br /> 8151 END DU BOTTOM DUMP <br /> STATE, <br /> ZIP. VAN DRUMS <br /> EPITO,CA ""'ED <br /> HONE - DATE ROLL-OFFS <br /> X <br /> 9f <br /> ATURE OF AUTHORIZED AGENT OR DRIVER . <br /> loom <br /> CUBIC YARDS <br /> p$Y LANDFIL`L.) <br /> Material has been oo: (TO OF COMPLETE <br /> mere y that the above named e.the foreg®I 9 pl$POSAMETM pTHER <br /> b cer�IfY knowtedg DISPOSE <br /> apted and to ths,tbruet and accurate: <br /> ®SOI( . <br /> 0 CONSTRUCTION <br /> DEBRIS <br /> EMARKS <br /> ON f IASLE <br /> ASBESTOS <br /> FtiSiC1t-1TY tCKET N BER <br /> T <br /> A.E QW <br /> DOD <br /> S TtJFtE flP AUTHORIZED AGENT <br /> O ASH .� <br /> rt SPECIAL OTHER <br /> - - uwscttlwuu <br /> ". FINAt."APS NDiF11.L THE DAY <br /> . EXPEND A1� WITH'THE LA <br /> C 1111.'( E Y PRIORef .BUST'�E�REpUi.Et7 MANIFEST� <br /> ups <br /> .ro REFAI' <br /> AR1.. <br />