Laserfiche WebLink
0. <br /> T <br /> ,__, ..�,.�, ,......,,.., ..., ...__....,... `�. Landfill <br /> Sanitary Landfill Sanitary landfill Sanitary Land ill <br /> 901 Bailey Road 12310 San.Me=Road i�i D"rcon Lar8l tie Road 9999 S.Austin Road <br /> Pi;f=rg,CA 94565 Hait Moon Say,CA 94Q19 Milpitas,CA 951735 PhonMante <br /> 9) 95336 <br /> 2.4 <br /> Phone(925)458-9800 Phone(650)726.1819 Phone(4M)945-2800 phone(209)982.4299 <br /> Fax(925)45&9891 Fox{650)726-9183 Fax(408)252.2671 Fax(208)982-1009 <br /> NON-MAZARDOUS WASTE MANIFEST <br /> ENERATOR WASTE ACCEPTANCE NO. <br /> MAILING AD0R_E5S <br /> OIIY STATE Z!P F'. C E IPIVlENT <br /> i=1dONE ifGLOVE'S' 3 GOGGLES Q4RESFIRAMR HARD HAT <br /> UT'L VEK „ 5 THER `. <br /> r,OrACT PEFhOC�I. <br /> ' 'EGIA���f�90.`III:DUNG PROCEDURES: <br /> SIGN TURSOF,ifUTHORIaM-A"T-;�:Fi:T1E <br /> GcAiERAT'OR'aGEAIFl��i3.71V-I'.h9�rC�.ceRi'y[t�l�lri .,, d'a74!`b � .. r �' ' s � < , <br /> WAD.m.afCeA�+adov,�o�FRsPart7l�.ardtle�tl� b�+ �`�a''�.Htn� rwa,. -' F ' <br /> aoawaarm*i*ttx�W+rarnerice.a�4CcF :ea gi�da <br /> 40 CF'a Pan.481. <br /> '7E TYPE: <br /> 5P05AL wl <br /> CONSTRUCTION ` " J ra �r <br /> , <br /> Z DEBR15 OT IEA. <br /> p SPECIAL WAST r <br /> GENERATING FACILITY <br /> Tf1ANSPORTER v. OTES ik� .icr E OCEN Nuk116'r�f TF3IJGffi i`JIJI IBER <br /> AD22 <br /> DRESS <br /> ITY,STATE,ZIP <br /> PHONE f~tii�: + INF 607'ro I'DUM`i' TRANSFER <br /> �i <br /> �SIGNATLIRE AUT•HORIZED.A'GENT OR'MRI,:F: DATIE p ROL -OFF(S;- RAT--EED VAN DRUMS <br /> r d ❑ d <br /> CUBIC YARDS- - - <br /> I hereby certify that the:above named material has been <br /> accepted.and to-the best of my-knawieslg*.the foreggIng. <br /> Is true and accurate. 61SFOSAL MET-HOD: (TO-BE CF]MPLSTED BY LANDFILL <br /> DISPOSE OTHER <br /> O SOIL <br /> O G0NS7AVrCTION <br /> DEBRIS 3{ <br /> FAGILITYTICKET NUMBER ❑NCN-FRIABLE <br /> ASSES-05 <br /> SIGNATURS 4F 1'HQRiZED:At EIVT !!.FTE ❑WQDD <br /> ❑ASH <br /> ` C]SPECt�L OTHER <br /> $CHEDULINGGMLIST.-BE�1WA09E PRICik;T.}`8.00-Fp IM.THE D71Y�F'Fi!.OFI TD i!-XPEGTE-0•AA RIVAL•ANY 'UNSCHEDULED,LCAoSaws.SLIBJECT <br /> TO REFUSAL LIFON• ARRIVAL. ON=Nr.: DAILY DELmEkIES MUtT BE SCHEDULED.WITH THE LANDFILL Tins DAY ospoRE_ <br /> GENERiAT0ft00F.Y MANIFEST p 3 IS�'T V <br /> Ld WdEL:7T SGt7E VE EjgC' 6EC- T: '07 j 1:o ECGaHl WI[: ltiG�u <br />