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ll <br /> Sanitary Landfall Sanitary Landfill Sanitary Landfill 9999 S As <br /> 901 Bailey Road 12310 San Mateo Road 16x1 Dixon L:anding RoaC 9999 S.Aus�n Road <br /> Piitslsur ,CA W565 Hal Moon Bay.CA 94019 Nlilpitds,CA 9503: Manlee8,CA 953$0 <br /> Phone B2aj 4b$•9800 Phone+6�s6)725-,819 Phone 1448)945-2800 Phone(209)982-4298 <br /> Fax(925)453-9891 Fax(650)726-9183 Fax(408)282-ZB71 Fax(209)982-1009 <br /> NEN-HAZARDOUS WASTE MANIFEST <br /> nENERATOA WASTE ACCEPTANCE NO. <br /> MAILING AbCAEs — 7/ _. <br /> CITY,STATE z1� EaLI R I PERSONAL r �Ec AVE Eco ;PM-NT <br /> :GL ; ES M GOGGLES a RFSRIAATQR HARD HAT <br /> NE <br /> ?NEMC O+dTHER <br /> C'.OhtTACT P;ERSCN <br /> -PECI AI,FIANi[UNG PflG►CEDURES: <br /> SIGNATUfrE OFAUTHOf33r ; <br /> , x OM1 <br /> k <br /> 3l;HStiP7CA'i GSAT;Fj�jTigl�s;. '_ q ,y� �,aia„ai►btka hetattleus <br /> �P44bRaatldY400FRPa1[jM! , �� b'.arCg011:y�r 15e�-peM..kCC¢pR! _ ..i <br /> disd'ibYd.dfenFfle+l <br /> EM PaGkaG 9i4 YB f 3pFar&itC 'Atd�A"AtUilr�,tOeaFl�aMe ? ,�,.�r.. -^ <br /> [�g}ptlprts;AFFO,IT'ltx urmetelst �i�s�/fpll7kK'tS�Nl�61,haI�rP4117r� _. ar '--F+:r"�..-.. <br /> �ucfad m me Lane Oki ReaiWic a fceltly *vgrrals7laet flewgs a n9e:00e .tree1.d.n n <br /> ��_c,� of 40- �a�tS�9ari6�a+oi �� exs cua+rartae3deftteaby 19ECEIVINGFACILITY <br /> 40 CPA Part 2Es- <br /> WASTE TYPE: <br /> ❑GOrJSTFlJG T ICN <br /> O DEBRIS U OTHER <br /> Q SPECIAL WASTE ; <br /> ENE€IATING FACILITY <br /> 70 <br /> TRANSPOSTEA f A... .. ',l NOTES: :u l I E tCENSE Nl1IU8cF TRUCK NIJMBEF? <br /> ADDRESS %; 11C 6V <br /> I ATE,ZIP <br /> r <br /> PRONE /f END.t)UMP f3C�TTOM DUMP 7i9AN FEA <br /> SIGNAUTHORIZED AGENT OR DRIVER DAT ' DOLL OFFS). FLA"F e© VAN DRUMS <br /> - C -YATF05- <br /> IJBIC <br /> it <br /> I hereby COrtlfy that the above named.--material has been <br /> accepted and to the be>3t of my knor+tfla ge the foregoing i15P4SAL :�rOt3: (T08Ccti!ILETPa aY LArvDFlLl) <br /> is true and accurate <br /> DEPOSE OTHER <br /> REMARKS o:salt. <br /> v.CONSTRUCTION <br /> FAerL,TY TdCKET NUM13ER DEBRIS <br /> al•FrZIABLE <br /> SI5NATUR 4P Al1TH Rt3A7E <br /> i=n AGENT A�EESFCS <br /> :. <br /> !a � D;WOyp <br /> G SPECIAL OTHER: i <br /> SCFiEDULII•iGMt75T 9£MA&OR <br /> #j r 'T+Q 3;o:04,TN E DAY PI O&W-11 IEM. D ISIRSW- i"qNY lrySCHEOULED LOADS ARE Sl!$.r'li"CT <br /> TO REFUSAL UPON ARRFt ~ I aigIINQ DAILY BEI-IVERINS.MUST.6E SCHSOUL''90 WITH THE LANDFILL THE DAY BEFORE. <br /> �lrN�x�sTC71��t�Py;. 3152 <br /> 7 <br /> MANIFEST* 3 1 5 2 4 C2 <br /> L� WUCC;TT SOOT t- ' i�� �$- eeEE GOE %: ON •!J 1:17 �ddL�N1. I,IIi: WMa <br />