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Sanitary Landfill Sanitary Landfill v Sanitary Landfill Landfill <br /> 901 Bailey Road 1231jftn Mateo Road 1601 Dixon Lan Road 9999 S.Austin Road <br /> Pittsburg,CA 94565 Half Wn Bay,CA 94019 - Milpitas,CA 950W 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 306 <br /> P.O. BOX 711 <br /> CITYSTATE,ZIP REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> DALLAS TX.75221-0711 Q GLOVES Q GOGGLES U RESPIRATOR U HARD HAT <br /> PHONE <br /> 208-429-8466 U TY VEK U OTHER <br /> CONTACT PERSON <br /> JAFF UG T Ri I IM MANL AGENT <br /> SPECIAL HANDLING PROCEDURES: <br /> SIGNATURg OF AUTHORIZED AGENT/TITLE. DATE <br /> GENERATOR'S CERTIFICATION:I hereby�rtiy that a named:riiateriat is not a hazardous <br /> waste as deed by 40 CFR Part 261 or we 22 of the mta code ol;tsgulations,has been property <br /> described,classified and packaged,and Is in proper tion for transpdrlation a-.cording to applicable <br /> AND,N the waste Is a treatment residue of a previously raatricted haz�us waste <br /> aublect to�Lard Disposal Restrictions,I certify and warrant that the,hraste has been treated in RECEIVING FACILITY <br /> a000rdanoe with the requirements of 40 CFR Part 268 and Is no Ionger xi hazardous waste as defined by <br /> 40 CFR Part 261. <br /> WASTE TYPE: <br /> O DISPOSAL U SLUDGE <br /> ®CONSTRUCTION U WOOD <br /> O DEBRIS U OTHER <br /> ®SPECIAL WASTE ; <br /> GENERATING FACILITY <br /> t <br /> TRANSPORTER NOTES: VEHICLE LICENSE NUMBER TRUCK NUMBER <br /> ADDRESS 4: :` , <br /> 9151 GERBER ROAD <br /> CITY,STATE,ZIP <br /> SACRAMENTO,CA 95829 <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> 916-689-4464 fur <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL ' FF(S FLAT-BED VAN DRUMS <br /> CUBIC YARDS <br /> 18 YARL& <br /> 1 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. <br /> DISPOSE OTHER <br /> U SOIL <br /> REMARKS <br /> IV .Q CONSTRUCTION <br /> FACILITY TICKET NUMBER DEBRIS <br /> O NON-FRIABLE <br /> ASBESTOS <br /> SIGNATURE OF AUTHORIZED AGENT T <br /> UW OOD <br /> ❑ASH <br /> U SPECIAL OTHER <br /> SCHEDULING MUST BE MADE PRIOR70 3:00 P M.THE DAY PRIORTO EXPECTED ARRIVAL a ANY UNSCHEDULED LOADS ARE SUBJECT <br /> TAD REFUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> W: 'TRANSPORTER COPY MANIFEST#226338 <br />