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IJr1a11{SI i„�lElei'V!7 LJ VA w%jul l%oiil L ewnf�� •..,..�,.. �• •••• - <br /> Sanitary !Landfill Sanitary Landfill Sanitary Landfill Landfill <br /> 901 Ba11ey Road 12310 San Mateo Road ir:.01 Dixon Landirj Road 9999 S.Austin Road <br /> Pittsburg,CA 9+!665 Hat'Moon Bay,CA 94019 Milpitas,GA 95035 Manteca,GA 35336 <br /> Phone(925)459-9800 Phone(650) 726-1819 Phone(408)946-2600 Phone{209)982.4298 <br /> Fax(926)452-9591 Fax(650)726-9183 Fax(408)262-287' }_.1 i F ,209,1 9.82-1009 <br /> NON-HAZARDOUS WASTE MANIFEST <br />' GEN£AATC16i <br /> Ll,A I f WASTE AdCEPtANCE NO. <br /> MAILING ADC . S L ✓�� <br /> CITY,STATE.Z1i: REQQJRED PERSONA PRT 07I11E EQUIPMENT <br /> i} ON C 0 <br /> ;O GRCVES ❑-GOGGLES 0 RESPIRATOR Q�.FIAFD HAT <br /> PHONE <br /> s / 0 TY-VSK 'd-CT.HEA <br /> CONTACT PERSON J <br /> a SPECIAL HANDLIgG PROCEDURES; <br /> SIGNATURE OF AUTHORIZED AGE JT- TRLE DATE <br /> t 1 <br /> 'None <br /> ` GSNEMTOA'SGER�1�'ICA'"IDV:IharotytoAkytAltf�aDo4t+se �s"laffaMaiarderis <br /> xTa�a7 AMMO�Y b CRR Aart 2Es ar a:�Qf The CBIItGmId�7J'$ .. ene`„;1�'C49+l�f9�PrY �� .., �cr <br /> dAWfWW 2rd fie!1Q9d,.aTd s m yopar Ccti{dlHtln <br /> gFTA M,A O" DYb'8 <br /> 'wR4lr a uantrmm¢naklue Clcl a perleuily <br /> wel9 a,ha►�M aapneal Tietlr4tieT a, rye ty ani warray lseetnariuie FiECi WING FAGIs fTT' <br /> wxa'Ceroe-with the w;Aw-w"0 40,:.n Pam M oM 4�a Ir,.r,-,w n li�tn 2fb1y3w�k tJ b+l <br /> ��b GFii'ftm 291. t <br /> ITA6TE TYPE: <br /> 15P05AL Q SLUDGE f399 . Aast im R-d. <br /> QCON8TRUC7IQN I L CWOOD CA 0533.6 <br /> { ;tDESMIS ' ' OOTHIR <br /> I ❑SPECIAL WASTE <br /> GENERATING FACILITY <br /> k <br /> e <br /> TAANSPOFl f3 1i1QTES: V90fiCLE LICENSE NUMBt:ft ' TRUCK NUMEEA <br /> >a <br /> Erpe Inc. <br /> CITY,STATE,ZIP <br /> j.qdjq CA <br /> It E r ENQ-UMP BOTTOM DUMP 7RAN5 ZR <br /> J i <br /> SiGNAiUFIE FAU HORlZEDkrqEKr OR DRIVER DATE ROLL-OFF•$1 FLAT-BED VAN DRUMS <br /> r %• C� Cf 1 <br /> CUBICYARDS:' <br /> 1 hereby cartity that the,above named meter-lei has been <br /> accepted and to the best`of My knowfedge the foregoing DISPGSA!METHOrJ: (T0 8E GDMPLE7 ED By Lb,AIDFlLI) <br /> Is trite and accurate. <br /> DISPOSE OTHER <br /> O SOIL �r <br /> a cOn►srA�,4T1c�I <br /> es_t3l:tls <br /> ACi IICKET.NUMBER D-NON-FRIABL: <br /> KSEEMa <br /> SIGMA RE OF AUTHORIZEDL ENT RrTE: i <br /> I r O.WOOD <br /> tifl ASH <br /> i1 <br /> �ii 1, r.t��.j + I�y'� %� <br /> O SPECIAL OTHER <br /> SCHEDULINOMUST`EILEMADE-PRIOR:TO 300-P.,`M"OTHLI;.AY"P.RIORTO EXPECTEd'ARRtVAL+'ANY UNSCHEDULED LOADSARE SUEWECT <br /> TO REFUSAL UPON AR'F4VAL. ONGOING DAILY DELIVEAI£S MUST BF sck90uLED'wrrH THE LANDFILL TIME DAY 9EF0I:i1~- <br /> GEiNERATOR COPY MANIFEST# 2808890 <br /> 7cj 7T SOO= t'� 'c17�.:i TSe7 85',= 600 L: 'Citi Ead1ltHa Hif: I�C�� <br />