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U Reiter vanyon L_j vx mountain LJ ivewoy 's'ano LJ rorwara <br /> Sanitary Landfill Sa tary Landfill Sanitary L dfill Landfill <br /> 901 Bailey Road 12 an Mateo Road 1601 Dixon g Road 9999 S.Austin Road <br /> Pittsburg,CA 94565 Hal on Bay,CA 94019 Milpitas,CA 95 Manteca,CA 95336 <br /> Phone(925)458-Elk 10 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.O. BOX 711 <br /> CITY,STATE,ZIP REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> DALLAS TX.75221-0711 0 GLOVES 0 GOGGLES 0 RESPIRATOR 0 HARD HAT <br /> PHONE <br /> 208-429-8466 0 TY VEK O OTHER <br /> CONTACT PERSON <br /> JAFF AUGHTERIONIE/TIM MANLEY AS AGENT <br /> SPECIAL HANDLING PROCEDURES: <br /> SIGNATUR OF AUTHORIZED AGENT/TITLE DATE <br /> i <br /> Gl!kdrwoms CERTIFICA'nCN:I hereby certity that the above jamed material is not a hazardous <br /> waste as defined by 40 CFR Part 261 or title 22 of the CaliforpladDde of regulations,has been property <br /> described,classified and packaged,and is in proper condit jr r transportation a-=t ing to applicable <br /> =ors <br /> to the t AND,H the waste Is a treatment residue of a previously restricted hazardous waste <br /> Lard Disposal Restrictions,I cartity and warrant that the waste has been treated M RECEIVING FACILITY <br /> accwdance with the requirements of 40 CFR Part 266 and is no longer a hazardous waste as defined by <br /> 40 CFR Part 261. <br /> WASTE TYPE: i <br /> 0 DISPOSAL 0 SLUDGE <br /> 0 CONSTRUCTION O WOOD <br /> O DEBRIS O OTHER <br /> 0 SPECIAL WASTE <br /> GENERATING FACILITY <br /> r ECE V EN#3276-2 <ANILINhK( IRACYCA , <br /> TRANSPORTER NOTES: VEHICLE LICENSE NUMBER TRUCK NUMBER <br /> TIM A MANLEY TF <br /> ADDRESS <br /> 9151 GERBER ROAT) <br /> CITY,STATE,ZIP <br /> SACRAMENTO,CA 95829 <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> 916-689-4464 <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER: <br /> RIVER DATE ROLL-OFFS FLAT-BED VAN DRUMS <br /> G <br /> V 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 <br /> DISPOSt OTHER y <br /> MARKS 0 SOIL <br /> 0 CONSTRUCTION <br /> FACILITY TICKET NUMBER DEBRIS <br /> O NON-FRIABLE <br /> ASBESTOS <br /> SIGNATURE OF AUTHORIZED A EMIT DAN <br /> 1 < 0 WOOD <br /> t 0 ASH <br /> 0 SPECIAL OTHER <br /> SCHEDULING MUST BE MADE PRIORTO 3:00 P.M.THE DAY PRIORTO EXPECTED ARRIVAL a ANY UNSCHEDULED LOADS ARE SUBJECT <br /> TO REFUSAL UPON ARRIVAL. ONGOING DAILY DELIVE S MUST BE SCHEDULED WITH'HE LANDFILL THE DAY BEFORE. <br /> t SPORTER COPY MANIFEST#226348 <br />