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] Keller Canyon ❑ Ox Mountain ❑ Newby Island ,`Forward <br /> Sanitary Landfill Sanitary Landfill Sanitary Landfill Landfill u a u <br /> 901 Bailey Road 12310 San Mateo Road 1601 Dixon Landing Road 9999 S.Austin Road D e ff <br /> Pittsburg,CA 94565 Half Moon Bay,CA 94019 Milpitas,CA 95035 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 /> .N"ATOR r v ��^ WASTE ACCEPTANCE NO. <br /> 1(ll�lAlM t.TQlf Wv, L.Lt��i id W <br /> kILING ADDRESS ` - <br /> 77 Beale Street 1V aR Code B24AI. 4509— <br /> TY,STATE,ZIP REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> San Frandsco CA 94-120 <br /> ❑GLOVES ❑GOGGLES L)RESPIRATOR O HARD HAT <br /> LONE <br /> O TY-VEK O OTHER <br /> )INTACT PERSON SPECIAL HANDLING PROCEDURES: <br /> Robert(` <br /> GNATURE OF AUTHORIZED AGENT/TITLE DATE <br /> i� Atdhurized rlgrnt fxx <br /> ��/'.�11 Cee c�Electric /4 <br /> /y�' ..r1 ....... <br /> ENERATOR'S CERTIFICATION:I hereby certify that the above named material is not a hazardous <br /> aste as defined by 40 CFR Part 261 or title 22 of the California code of regulations,has been properly <br /> scribed,classified and packaged,and is in proper condition for transportation a-cording to applicable <br /> pulations;AND,N the waste Is a treatment residue of a previously restricted hazardous waste <br /> Ibiect to the land Disposal Restrictions,I certify and warrant that the waste has been treated in RECEIVING FACILITY <br /> mordance with the requirements of 40 CFR Part 268 and is no longer a hazardous waste as defined by -j <br /> CFR Part 261. <br /> 4STE TYPE: <br /> 1i <br /> •DISPOSAL ❑SLUDGE �t�4Nl <br /> ❑CONSTRUCTION O WOOD <br /> O DEBRIS ❑OTHER <br /> O SPECIAL WASTE <br /> _NERATING FACILITY j <br /> v><nit�n�h�c�rhivr nurnir.�a .. <br /> IA► 'OATER NOTES: VEHICLE LICENSE NUMBER TRUCK NUMBER <br /> _mHeste cram rtatlon i l <br /> )DRESS , <br /> 820 este.Ct. l <br /> TY,STATE,ZIP <br /> IONE END DUMP BOTTOM DUMP TRANSFER <br /> 1707)838-1407 ❑ ❑ <br /> 3NATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS I. <br /> ❑ ❑ ❑ ❑ <br /> a <br /> CUBIC YARDS <br /> hereby certify that the above named material has been <br /> accepted and to the best of my knowledge the foregoing DISPOSAL METHOD: (TO BE COMPLETED BY LANDFILL) <br /> is true and accurate. j <br /> DISPOSE OTHER M d il1 <br /> R 9i`df 9 <br /> :MARKS O SOIL <br /> O CONSTRUCTION 4 <br /> CILITY TICKET NUMBER DEBRIS C <br /> O NON-FRIABLE t <br /> ASBESTOS <br /> 3NATURE OF AUTHORIZED AGENT DATE <br /> O WOOD f <br /> O ASH I <br /> 0 SPECIAL OTHER <br /> TING MUST BE MADE PRIOR TO 3:00 P.M.THE DAY PRIORTO EXPECTED ARRIVAL*ANY UNSCHEDULED LOADS ARE SUBJECT ! 141 <br /> :FUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. Itj <br /> GENERATOR COPY MANIFEST# 341909 I p <br />