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] Keller Canyon ❑ Ox Mountain ❑ Newby Island Forward <br /> Sanitary Landfill Sanitary Landfill Sanitary Landfill Landfill <br /> 901 Bailey Road 12310 San Mateo Road 1601 Dixon Landing Road 9999 S.Austin Road <br /> Pittsburg,CA 94565 Half Moon Bay, CA 94019 Milpitas,CA 95035 Manteca,CA 95336 I <br /> Phone(925)458-9800 Phone(650)726-1819 Phone(408)945-2800 Phone(209)982-4298 1 -' <br /> Fax(925)458-9891 Fax (650)726-9183 Fax(408)262-2871 Fax (209)982-1009 <br /> NON-HAZARDOUS WASTE MANIFEST I <br /> 114� <br /> NEr,ATOR WASTE ACCEPTANCE N0. <br /> nac:f„ Gas a I'llo tnc i <br /> kILING ADDRESS 1" <br /> 3 ale, Stm nnn- <br /> 77 fl Pt <br /> TY, STATE,ZIP REQUIRED PERSONAL PROTECTIVE EQUIPMENT i <br /> �±F ►!t`�lSca C�y41_7.(1 Q GLOVES U GOGGLES U RESPIRATOR O HARD HAT <br /> ]ONE <br /> U TY-VEK Q OTHER <br /> )NTC R O'� � •i <br /> SPECIAL HANDLING PROCEDURES: <br /> 3NATURE OF AUTHORIZED AGENT/TITLE DATE <br /> Audwrizod Agent for i <br /> Psecific(3as&F-lemic [J ..,......... *411' <br /> ✓" /C/ , <br /> / i�ivii� <br /> ENEAATOR'S CERTIFICATION:I hereby certify that the above named material is not a hazardous <br /> asts as defined by 40 CFR Pan 261 or title 22 of the California code of regulations,has been property <br /> noribed,classified and packaged,and is in proper condition for transportation a-cording to applicable <br /> qulations;AND,if the waste Is a treatment residue of a prevlouaty restricted hazardous waste j <br /> object to the Land Disposal Restrictions,I certify and warrant that the waste has been treated in RECEIVING FACILITY <br /> xordance with the requirements of 40 CFR Pan 268 and is no longer a hazardous waste as defined by ` <br /> CFR Part 261. <br /> 4STE TYPE: <br /> ❑DISPOSAL Q SLUDGE ( y <br /> ❑CONSTRUCTION ❑WOOD <br /> O DEBRIS Q OTHER I ) <br /> ❑SPECIAL WASTE <br /> :NERATING FACILITY <br /> 17hornion UivnydrdWT I u�rnion <br /> A <br /> At 7RTER NOTI=S: VE CLE LICENSE NUMBER TRUCK NUMBER <br /> — _';-.iii3e8WTransportabon <br /> IDRESS <br /> 8.20. _ .t) e.RtP-. _t_ <br /> rY,STATE,ZIP ' <br /> WinrLqnr <br /> , CA 95492 <br /> IONE END DUMP BOTTOM DUMP TRANS ER <br /> (702)93R-11 4 ❑ L11 ) <br /> 3NATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> ❑ ❑ ❑ ❑ i <br /> 10-2 1, ) <br /> CUBIC YARDS <br /> 1 hereby certify that the above named material has been <br /> accepted and to the best of my knowledge the foregoing <br /> is true and accurate. DISPOSAL METHOD: (TO BE COMPLETED BY LANDFILL) <br /> DISPOSE OTHER <br /> .MARKS U SOIL <br /> U CONSTRUCTION <br /> CILITY TICKET NUMBER ❑ DEBRIS <br /> NON-FR(ABLE <br /> 'NATURE OF AUTHORIZED AGENT DATE ASBESTOS <br /> U WOOD 1 t <br /> U ASH I }. <br /> i <br /> ❑SPECIAL OTHER <br /> )ULING MUST BE MADE PRIOR TO 3:00 P.M.THE DAY PRIORTO EXPECTED ARRIVAL•ANY UNSCHEDULED LOADS ARE SUBJECT <br /> .FUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. i <br /> GENERATOR COPY MANIFEST# 341910 <br />