Laserfiche WebLink
] 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 j <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 N <br /> NON-HAZARDOUS WASTE MANIFEST M <br /> Clf�:i <br /> :rvE=BATOR WASTE ACCEPTANCE NO. 0 A 91 <br /> I-ad"C' vas <br /> AILING ADDRESS i <br /> Annn- <br /> 77 'Beale S t <br /> 1Y, STATE,ZIP REQUIRED PERSONAL PROTECTIVE EQUIPMENT f <br /> San Frain--isco CA ()417.(1 Q GLOVES ❑GOGGLES Q RESPIRATOR Q HARD HAT I 1 <br /> ZONE <br /> O TY-VEK Q OTHER <br /> )NT CT PERSON I <br /> SPECIAL HANDLING PROCEDURES: <br /> 3NATURE OF AUTHORIZED AGENT/TITLE DATE j <br /> Aad wrized Agerd fix <br /> Pacific Gas&Electric ............... i h <br /> ENERATOR'S CERTIFICATION:I hereby certify that the above named material is nota rdous 1rVllft [ <br /> rile as defined by 40 CFR Part 261 or title 22 of the California code of regulations,has been property <br /> maibed,classified and packaged,and is in proper condition for transportation a-cording to applicable <br /> gulations;AND,If the waste is a treatment residue of a previously restricted hazardous waste <br /> bjec.•t to the Land Disposal Restrictions,t certify and warrant that the waste has been treated in RECEIVING FACILITY <br /> nordance with the requirements of 40 CFR Part 266 and is no longer a hazardous waste as defined by <br /> 1 CFR Part 261_ ( �. <br /> >STE TYPE: <br /> i <br /> U DISPOSAL Q SLUDGE <br /> O CONSTRUCTION U WOOD <br /> U DEBRIS U OTHER <br /> O SPECIAL WASTE i <br /> .NERATING FACILITY <br /> I <br /> ­11 nornion uGnydrdior i itvrnivc� <br /> AV 7RTER NOTES: VEHICLE LICENSE NUMBER TRUCK NUMBER f <br /> ,,-,nBeste Tratisportation. -- <br /> ORESS <br /> 820 D m._Be ste Ct. <br /> FY, STATE,ZIP <br /> - - - <br /> CA IONE END DUMP BOTTOM DUMP TRANSFER I <br /> (707)838-1 A(17 �` ❑ ❑ <br /> 3NATURE OF AUTHO ENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN AA�UM i <br /> CUBIC YARDS I n I <br /> f <br /> hereby certify that the above named material has been <br /> mccepted and to the best of my knowledge the foregoing DISPOSAL METHOD: (TO BE COMPLETED BY LANDFILL) <br /> is true and accurate. <br /> DISPOSE OTHER, <br /> MARKS O SOIL <br /> Q CONSTRUCTION <br /> 1XITY TICKET NUMBER DEBRIS <br /> U NON-FRIABLE <br /> ASBESTOS <br /> !NATURE OF AUTHORIZED AGENT DATE f <br /> U WOOD <br /> Q ASH <br /> Q SPECIAL OTHER <br /> J <br /> KILING MUST BE MADE PRIORTO 3:00 P.M.THE DAY PRIORTO EXPECTED ARRIVAL a ANY UNSCHEt#ULED LOADS ARE SUBJECT <br /> ;FUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> GENERATOR.COPY MANIFEST# 341912 <br />