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U Keller Canyon H Ux mountain U Ivewuy 'slano u ruilwatu <br /> Sanitary Landfill S ary Landfill Sanitary L dfill Landfill <br /> 901 Bailey Road S an Mateo Road 1601 Dixon g Road 9999 S.Austin Road <br /> Pittsburg,CA 94565 Half oon Bay,CA 94019 Milpitas,CA 95 5 Manteca,CA 95336 <br /> Phone(925)458-9800 Phone(650)726-1819 Phone(408)945-2800 Phone(209)982-4298 <br /> ?`ax(925)458-9891 Fax(650)726-9183 Fax(408)262-2871 Fax(209)982-1009 <br /> NON-HAZARDOUS WASTE MANIFEST <br /> IIIIINGENERATOR WASTE ACCEPTANCE NO. <br /> 7 ELEVEN <br /> MAILING ADDRESS e <br /> P.O. BOX 711 <br /> CITY,STATE,ZIP REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> DALLAS TX.75221-0711 ®GLOVES 0 GOGGLES ®RESPIRATOR O HARD HAT <br /> PHONE <br /> 208-429-M6 ❑TY VEK U OTHER <br /> CONTACT PERSON SPECIAL HANDLING PROCEDURES: <br /> SIGNATURE OF AUTHORIZED AGENT/TITLE DATE <br /> GtNERATOWS cmnfrICATIom I hereby certify that the abq4 named material is not a hazardous <br /> waste as defined by 40 CFR Part 261 or title 22 of the California code of regulations,has been property <br /> classified and packaged,and is in proper condition for transportation a-vording to applicable <br /> tions;AND,If the waste is a Uw mt rssidue of a previously,restdcted hazardous waste <br /> b tlee m Land Disposal RestrkMians,l certify and warrent that the waste has been treated in RECEIVING FACILITY <br /> accordance with the requirements of 40 CFR Part 268 and is no longer a hazardous waste as defined by <br /> 40 CFR Part 261. <br /> WASTE TYPE: <br /> O DISPOSAL ❑SLUDGE <br /> ®CONSTRUCTION ®WOOD <br /> O DEBRIS ❑OTHER <br /> O SPECIAL WASTE <br /> GENERATING FACILITY <br /> I ELEVEN b <br /> TRANSPORTER NOTES: VEHICLE LICENSE NUMBER TRUCK NUMBER <br /> TRUCKING, <br /> ADDRESS <br /> 91511.13ERBER ROAD <br /> CITY,STATE,ZIP <br /> SACRAMEf-TO,CA 95829 <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> 916-68 <br /> SIGNATURE OF AUTHORIZ AGENT OR DRIVER DATE ROLL-OFFS FLAT-BED VAN DRUMS <br /> CUBIC YARDS I <br /> 1 <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 /> O SOIL <br /> EMARKS <br /> O CONSTRUCTION <br /> FACILITY TICKET NUMBER DEBRIS <br /> 0 NON-FRIABLE <br /> ASBESTOS <br /> SIGNATURE OF AUTHORIZED AGE Ti TE <br /> O WOOD <br /> , 4 <br /> A' O ASH <br /> O SPECIAL OTHER <br /> SCHEDULING MUST BE MADE PMORtO 9:00 P.M.THE DAY PRIORTO EXPECTED ARRIVAL a ANY UNSCHEDULED LOADS ARE SUBJECT' <br /> TO REFUSAL UPON ARRIVAL. ONGOING.DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> TRA„ PORTER COPY MANIFEST#226336 <br />