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LJ r`%F1M2 ViceeeyVee U VA Rrewueetaill " IVGV1rwy ealallu (J rulYValu <br /> Sanitary Landfill Sanitary Landfill Sanitary Landfill Landfill <br /> 901 Bailey Road 12 an Mateo Road 1601 Dixon Lg Road 9999 S.Austin Road <br /> Pittsburg,CA 94565 Ha on 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 /> NON-HAZARDOUS WASTE MANIFEST <br /> GENERATOR <br /> EUE WASTE ACCEPTANCE NO. <br /> MAILING ADDRESS -3406 <br /> 741 <br /> CITY, STATE,ZIP REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> P O GLOVES O GOGGLES O RESPIRATOR O HARD HAT <br /> O TY VEK 0 OTHER <br /> C A NOON SPECIAL HANDLING PROCEDURES: <br /> S) A LEN* DATE <br /> GENERATOR'S CERTIFICATION:I hereby certify that the above namH material Is not a hazardous <br /> waste a definedby 40 CFR Part 26co <br /> 1 or title 22 of the California de regulations,has been properly <br /> dassified and packaged,and is in proper condition for transportation a-ord ng to applicable <br /> regulatkms;AND,If the weals Is s treatment residue of a previously restricted hazardous waste <br /> subject m the 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 281. <br /> WASTE TYPE: <br /> O DISPOSAL 0 SLUDGE <br /> O CONSTRUCTION 0 WOOD <br /> O DEBRIS 0 OTHER <br /> O SPECIAL WASTE <br /> GENERATING FACILITY <br /> 7 ELEVEN#32262 2360 GRANTLINE RD TRACY CA . <br /> TRANSPORTER NOTES: VEHICLE LICENSE NUMBER TRUCK NUMBER <br /> ADDRESS ` <br /> 9:1511 RSER ROAD <br /> CITY,STATE, IP <br /> P O CA 95a29 END DUMP BOTTOM DUMP TRANSFER <br /> SI5 CIFAUTHORIZED AGENT OR DRIVER DATE ROL -OFFS FLAT-BED VAN DRUMS <br /> CUBIC YARDS <br /> I 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 O+HER <br /> RE-MARKS O SOIL <br /> O CONSTRUCTION <br /> FACILITY TICKET NUMBER DEBRIS <br /> 0 NON-FRIABLE <br /> ASBESTOS <br /> SIGNATURE OF AUTHORIZED AGENT <br /> �. O WOOD <br /> O ASH <br /> 0 SPECIAL OTHER <br /> SCHEDULING MUST BE MADE PRIORTO 3:00 RKTHE 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 /> TRANSPORTER COPY MANIFEST#226381 <br /> :Ni. <br />