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U ewcsecs %fullyvn L_J vw swvus.eans LJ Ilawvy 101allu L-i rurwalu <br /> Sanitary Landfill - Sanitary Landfill Sanitary L dfill Landfill <br /> 901 Bailey Road 12 an Mateo Road 1601 Dixon g Road 9999 S.Austin Road <br /> Pittsbu�g�"CA 94565 Hal oon Bay,CA 94019 Milpitas,CA 95 Manteca,CA 95336 <br /> Phone(925)45R-9800 , hone(650)726-1819 Phone(408)945-2800 Phone(209)982-4298 <br /> ax(95)458 31 Fax(650)726-9183 Fax(408)262-2871 Fax(209)982-1009 <br /> n <br /> NON-HAZARDOUS WASTE MANIFEST <br /> GENERATOR WASTE ACCEPTANCE NO. <br /> MAILING ADDRESS —3406 <br /> CITY,STATE,ZIP REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> bNjMh1X 7522 1-0711 0 GLOVES 0 GOGGLES 0 RESPIRATOR 0 HARD HAT <br /> PHONE <br /> C <br /> 0 TEK ❑OTHER <br /> AON Y V <br /> SPECIAL HANDLING PROCEDURES: <br /> All <br /> c <br /> SI AI L DATE <br /> G ERATOR'S CERTIFICATION:I hereby certify that th above named material is not a hazardous <br /> waste as defined by 40 CFR Part 261 or title 22 of thtyCAffornla code of regulations,has been properly <br /> dsaort6ed,cl®ssHied and packaged,and is in proper befidition for transportation a-cording to applicable <br /> regulations;AND,H the waste Is s t wdmnt residue of'q Previously restricted hozardo0s waste <br /> subject to the Land Disposal Restrictions,t certify and warrant that the waste has been treated In RECEIVING FACILITY <br /> accordance with the requirements of 40 CFR Part 268 and i$no longer a hazardous waste as dented by <br /> 40 CFR Part 261. <br /> WASTE TYPE: <br /> 0 DISPOSAL 0 SLUDGE <br /> O CONSTRUCTION 0 WOOD <br /> O DEBRIS 0 OTHER <br /> 0 SPECIAL WASTE <br /> GENERATING FACILITY <br /> NOTES: 1 I <br /> TRANSPORTER O S: VEH CLE LICENSE NUMBER TRUCK NUMBER <br /> TIM A MANLEY TRUCKING,INC. <br /> ADDRESS <br /> 9151 GER13ER ROAD <br /> `y.ITX,STATE,ZIP <br /> SAGRAMEITT_6,CA 95829 <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> 916-W9-4464 ❑ <br /> SIG OF AUTHORIZED AGENT OR DRIVER DATE ROL -OFFS FLAT-BED VAN DRUMS <br /> ❑ ❑ ❑ ❑ <br /> CUBIC YARDS <br /> 1 hereby certify that the above named material has been <br /> accepted and to the best of my knowledge the foregoing <br /> is true and accurate. DISPOSAL METHOD: (To BE COMPLETED BY LANDFILL) <br /> DISPOSE OTHER <br /> ❑ <br /> REMARKS solt <br /> 0 CONSTRUCTION <br /> FACILITY TICKET NUMBER DEBRIS <br /> NON-FRIABLE <br /> ASBESTOS <br /> SIGNATURE OF AUTHORIZEDAGENT 0ATE1 <br /> _. 0 WOOD <br /> / 0 ASH <br /> 0 SPECIAL OTHER <br /> .SCHEDULING MUST BE MADE PRIG TO 3:00 P. .THE DAYPR16RTO 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 /> TRANSPORTER COPY MANIFEST#226333 <br /> 2 " 3 <br />