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] Keller Canyon ❑ Ox Mountain ❑ Newby Island Forward <br /> Sanitary Landfill Sanitary Landfill Sanitary Landfill Landfill I .7*., <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 <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 I' <br /> NON-HAZARDOUS WASTE MANIFESTtoo <br /> 1 <br /> :NEnATOR I <br /> WASTE ACCEPTANCE NO. a+ l <br /> s. a�+'euC vaa ax, iA"wW )I% <br /> ULING ADDRESS <br /> 77 TAeale Street# lt7�L 7 <br /> rY, STATE,ZIP REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> Sara Fra-nds o CA 94121.E ❑GLOVES ❑GOGGLES ❑RESPIRATOR 0 HARD HAT <br /> ION E <br /> �dl 5) 973-3773 0 TY-VEK O OTHER <br /> )NT CT PERSON SPECIAL HANDLING PROCEDURES:Robert Ciray <br /> i <br /> 3NATURE OF AUTHORIZED AGENT/TITLE DATE <br /> Authorized Agwl for <br /> AL.e_ <br /> Pacific Ow&Ntcctric //Z <br /> �✓ <br /> -ENEFA <br /> TOR'S CERTIFICATION:I hereby certify that the above named material is nothazardous 1\u!!C <br /> isle as defined by 40 CFR Part 261 or title 22 of the California code of regulations,has been properly i <br /> iscribed,classified and packaged,and is in proper condition for transportation a-cording to applicable <br /> "bons AND,If the waste Is a treatment residue of a Previously restricted hazardous waste I <br /> blW to the Land Disposal Restrictions,I certify and warrant that the waste has been treated in RECEIVING FACILITY I <br /> cordance with the requirements of 40 CFR Pan 268 and is no longer a hazardous waste as defined by <br /> CFR Part 261. <br /> 1STE TYPE: ' <br /> i , <br /> O DISPOSAL ❑SLUDGE <br /> O CONSTRUCTION O WOOD <br /> O DEBRIS L)OTHER <br /> ❑SPECIAL WASTE <br /> :NERATING FACILITY <br /> 1 flunliAm T1JCnyf ndtor 1.llo11 iuTt <br /> M' ').HTER NOTES: VEHICLE LICENSE NUMBER TRUCK NUMBER I Oi#1�1 <br /> _;Oeste Transpor ation <br /> DRESS <br /> _ _ .T e"_.Qf ri __t- 9 <br /> IY STATE,ZIP <br /> I <br /> ONE Wjn -qor_ CA 954-92 <br /> END DUMP BOTTOM DUMP TRANSFER r'~i <br /> 1 <br /> (7 7l 'IR"1AQ7 ❑ ❑ <br /> iNA UR OF ORIZED AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN I)RUMS <br /> Zb <br /> CUBIC YARDS <br /> I 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 O SOIL <br /> ❑CONSTRUCTION <br /> ILITY TICKET'NUMBER DEBRIS <br /> O NON-FRIABLE `I <br /> ASBESTOS <br /> iNATURE OF AUTHORIZED AGENT DATE <br /> ❑WOOD i <br /> i <br /> O ASH <br /> I <br /> 0 SPECIAL OTHER <br /> i <br /> I <br /> )Ut, G MUST BE MADE PRIOR TO 3:00 P.M.THE DAY PRIORTO EXPECTED ARRIVAL a ANY UNSCHEDULED LOADS ARE SUBJECT <br /> .FUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> GENERATOR COPY MANIFEST N 341914 <br />