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Keller Canyon ❑ Ox Mountain ❑ Newby IslandPLandfill <br /> orward <br /> Sanitary Landfill Sanitary Landfill Sanitary 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 <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 i <br /> iNERATOR WASTE ACCEPTANCE NO.Gas <br /> i tw l <br /> ►ILING ADDRESS <br /> A Q1%Q I <br /> 77 Re.Ale s'1 met "t 7 V 7 <br /> FY, STATE,ZIP REQUIRED PERSONAL PROTECTIVE EQUIPMENT j <br /> Ran ciai-.n (,A 9417.ff <br /> ZONE U GLOVES O GOGGLES Q RESPIRATOR Q HARD HAT <br /> -- U TY-VEK Q OTHER j <br /> )NT O <br /> Robell SPECIAL HANDLING PROCEDURES: <br /> 3NATURE OF AUTHORIZED AGENT/TITLE DATE <br /> AAthxi=dl Agent&m <br /> Ste' Pacific 0w&'Electric Jf.� —D. <br /> NERATOR'S CERTIFICATION:I hereby certify that the above named material is not a hazardous 1 V t)Ilt; <br /> Este as defined by 40 CFR Part 261 or title 22 of the California code of regulations,has been property <br /> scribed,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 /> bject 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 Pan 266 and is no longer a hazardous waste as defined by <br /> �CFR Part 261. <br /> \STE TYPE: I .' <br /> DISPOSAL U SLUDGE <br /> Cl CONSTRUCTION U WOOD <br /> O DEBRIS O OTHER f e <br /> U SPECIAL WASTE <br /> :NERATING FACILITY <br /> Thmuiun uc;h draior 111omiurt <br /> AN JRTER NOTES: VEHICLE LICENSE NUMBER TRUCK NUMBER <br /> nBeste Trans tion 7 <br /> ,DRESS <br /> .0 Dep of e,C .t_ <br /> FY, STATE,ZIP _ I 1 <br /> CA 9 <br /> ONE END DUMP BOTTOM DUMP TRANSFER <br /> (7()2)8';8-14n7 ❑ ❑ jap > <br /> !NATURE OFAUTHORI ENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> ❑ ❑ ❑ ❑ <br /> j 9111:1 <br /> CUBIC YARDS 10,Ott <br /> r <br /> I hereby certify that the above named material has been <br /> iccepted and to the best of my knowledge the foregoing <br /> DISPOSAL METHOD: (TO BE COMPLETED 8Y LANDFILL) <br /> is true and accurate. � <br /> DISPOSE OTHER ( "� <br /> I , <br /> MARKS o SOIL j <br /> U CONSTRUCTION j <br /> XITY TICKET NUMBER DEBRIS <br /> U NON-FRIABLE I <br /> � <br /> 'NATURE OF AUTHORIZED AGENT DATE ASBESTOS a tt 4 <br /> U WOOD <br /> Q ASH <br /> U SPECIAL OTHER <br /> I <br /> !(JUNG MUST BE MAE 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. <br /> GENERATOR COPY MANIFEST# 341922 <br />