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Sanitary Landfill Sanitary Landfill Sanitary Landfill Landfill <br /> 901 Bailey Road 123j&n Mateo Road 1601 Dixon Laoft Road 9999 S.Austin Road <br /> Pittsburg,CA 94565 Hal n Bay,CA 94019 Milpitas,CA 95W 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 `' 3406 <br /> P.Q. X 711 <br /> CITY,STATE,ZIP REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> DALLAS T .7 1- 711 U GLOVES U GOGGLES U RESPIRATOR O HARD HAT <br /> PHONE <br /> 208 O TY VEK U OTHER <br /> CONTACT PERSON SPECIAL HANDLING PROCEDURES: <br /> ,IAFi` <br /> SIGNATURE OF AUTHORIZED AGENT/TITLE DATE <br /> d ERATOR'S CERTIFICATION:i hereby certify that the abR 9 y6med material is not a hazardous <br /> waste as defined by 40 CFR Part 261 or title 22 of the CalifaffitsAode of regulations,has been properly <br /> described,classified and packaged,and is in proper concH transportation a-cording to applicable <br /> kik .ANO,K the waste Is a treatment residue of a previously restricted hazardous waste <br /> ttr u to tite Land Disposal Restrictions,I certify and warrant that the waste has been treated in RECEIVING FACILITY <br /> with flee requirements of 40 CFR Part 268 and is no loner a hazardous waste as defined by <br /> 40 CFR Part 261: •. - <br /> ;R <br /> WASTE TYPE: <br /> U DISPOSAL O SLUDGE <br /> O CONSTRUCTION O WOOD <br /> U DEBRIS U OTHER <br /> ®SPECIAL WASTE <br /> GENERATING FACILITY <br /> 7 ELEVEN#M= 23450 GRA .� <br /> TRANSPORTER NOTES: VEHICLE LICENSE NUMBER TRUCK NUMBER <br /> TIM A MANLEY TRUCKING,INC. 03 <br /> ADDRESS <br /> 9151 GERBER ROAD ' .t <br /> CITY,STATE,ZIP <br /> SACRAMENTO CA 95829 <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> 9%-689-4464 <br /> SIGNATURE OF AUTHORIZED AGENTOR R DRIVER DATE ROLL-OFFS FLAT-BED VAN DRUMS <br /> CUBIC YARDS r <br /> 1 t3 YA DS <br /> 1 hereby certify that the above named material has been _ ,•F <br /> -` <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 /> O SOIL <br /> REMARKS <br /> O CONSTRUCTION <br /> FACILITY TICKET NUMBER , DEBRIS <br /> O NON-FRIABLE <br /> l ' ASBESTOS <br /> SIGNATURE OF AUTHORIZED AGEOATIF <br /> _ tA <br /> WOOD <br /> ASH <br /> r U SPECIAL OTHER <br /> SCHEDULING MUST BE MADE PRIORTO 3:00 P.M.THE DAY PRIORTO EXPECTED ARRIVAL a ANY U SCHEDULED LOADS ARE SUBJECT <br /> TO REFUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> TRANSPORTER COPY MANIFEST#220 <br /> 1 <br />