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Sanitary Landfill Sanitary Landfill Sanitary Landfill Landfill <br /> 901 Bailey Road 12 an Mateo Road 1601 Dixon Lqftg Road 9999 S.Austin Road <br /> Pittsburg,CA 94565 1-10111111111bon Bay, CA 94019 Milpitas,CA 9 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 /> Y <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 O GOGGLES 0 RESPIRATOR 0 HARD HAT <br /> PHONE <br /> 2096429-8466 ❑TY VEK O OTHER <br /> CONTACT PERSON <br /> SPECIAL HANDLING PROCEDURES: <br /> SIGNATURE OF AUTHORIZED AGENT/TITLE DATE <br /> ENE R'S CERTIFlCATION:I hereby certify that the =,n ot a hazardous <br /> waste as defined by 40 CFR Part 261 or title 22 0l the Ca' of has been property <br /> desorlbed,cdasslfied and packaged,and is in proper condition or transportation a-cording to applicable <br /> ANO,h"waste Is a treatment residue of a previously restricted hazardous waste <br /> s�4lo dna Land Disposal Restrictions,I certify and warrant 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 O SLUDGE <br /> O CONSTRUCTION 0 WOOD <br /> O DEBRIS O OTHER <br /> 0 SPECIAL WASTE <br /> GENERATING FACILITY <br /> 7 ELEVEN##32262 2360 GRA I , <br /> TRANSPORTER NOTES: VEHICLE LICENSE NUMBER TRU K NUMBER <br /> TIM A MANLEY TRUCKING,UCKING,INC. <br /> ADDRESS <br /> 9151 GERBER ROAD <br /> CITY,STATE,ZIP <br /> SACRAMENTO 95829 <br /> PHONE END DUMP BOTTOM DUMP TRA SF R <br /> 916-689-4464 <br /> SIGNATURE A ORIZE A ENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN UMS <br /> 2V <br /> CUBIC YARDS <br /> 1 hereby certify that the above named material has been 18 YARDS <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 /> MARKS O SOIL <br /> Ir r 0 CONSTRUCTION <br /> FACILITY TICKET NUMBER Zj DEBRIS <br /> 6 <br /> ❑NON-FRIABLE <br /> / <br /> SIGNATURE OF AUTHORIZE, . GENT *QE ASBESTOS <br /> s j 0 WOOD <br /> i G 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 DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> T4NSPORTER COPY MANIFEST# /I <br /> >; "t <br />