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Keller Canyon ❑ Ox Mountain ❑ Newby Island Forward <br /> Sanitary Landfill Sanitary Landfill Sanitary Landfill Landfill -p <br /> 901 Bailey Road 12310 San Mateo Road 1601 Dixon Landing Road 9999 S.Austin Road ; 0-ow <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 /> :NERATOR WASTE ACCEPTANCE NO. <br /> I acifiC Gas &Erect.% <br /> 0LING ADDRESS <br /> 77 Beale Street Mail Code B24 A *7v7 <br /> fY,STATE,ZIP REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> ,-A Francisco, :A 94120 <br /> ZONE U GLOVES LI GOGGLES U RESPIRATOR Q HARD HAT <br /> --- U TY-VEK U OTHER 84.9 i <br /> 1N O <br /> R ^ � <br /> SPECIAL HANDLING PROCEDURES: <br /> Robed Caav <br /> aNATURE OF AUTHORIZED AGENT/TITLE DATE <br /> Authorized Agent for t <br /> i <br /> Pacific Gus Ffectric ................ <br /> iZluine <br /> NERATOR'S CERTIFICATION:I hereby certify that the above named material is not a hazar s <br /> We as defined by 40 CFR Part 261 or title 22 of the California code of regulations,has been property <br /> ecrbed,classified and packaged,and is in proper condition for transportation a cording to applicable <br /> gulatlons;AND,If the waste Is a treatment residue of a previously restricted hazardous waste <br /> bled to the land Disposal Restrictions,I certify and warrant that the waste has been treated in RECEIVING FACILITY . <br /> cordance with the requirements of 40 CFR Part 266 and is no longer a hazardous waste as defined by <br /> CFR Part 261. I <br /> 1 E TYPE: <br /> DISPOSAL O SLUDGE : <br /> O ONSTRUCTION U WOOD <br /> O DEBRIS O OTHER j <br /> O SPECIAL WASTE <br /> I <br /> :NERATING FACILITY I <br /> !DthyNOW= <br /> urrarc�r i Exriatic `( <br /> Ati, JRTER NOTES: VHICLE LICENSE NUMBER TRUCK NUMBER <br /> enBeste Transportattoii <br /> (DRESS c/ <br /> I <br /> _X70_ _eerie _ I <br /> fY,STATE,ZIP <br /> Wind-gor, C,A 95492 <br /> it I1.8 t <br /> ZONE END DUMP BOTTOM DUMP TRAN ER li 3f 0 0 <br /> ❑ ❑ .23 <br /> aN A RIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> ❑ ❑ ❑ ❑ <br /> CUBIC YARDS <br /> hereby certify that the above named material has been <br /> 9ccepted and to the best of my knowledge the foregoing <br /> DISPOSAL METHOD: (TO BE COMPLETED BY LANDFILL) <br /> is true and accurate. <br /> DISPOSE OTHER : <br /> .MARKS U SOIL <br /> O CONSTRUCTION <br /> CILITY TICKET NUMBER DEBRIS <br /> O NON-FRIABLE <br /> ASBESTOS <br /> aNATURE OF AUTHORIZED AGENT DATE <br /> O WOOD <br /> U ASH <br /> I <br /> U SPECIAL OTHER <br /> )UUNG MUST BE MADE PRIORTO 3:00 P.M.THE DAY PRIORTO EXPECTED ARRIVAL-ANY UNSCHEDULED LOADS ARE SUBJECT .I6 1 <br /> :FUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. 1 015:0 <br /> GENERATOR COPY MANIFESTN 1 I p <br />