Laserfiche WebLink
] Keller Canyon ❑ Ox Mountain ❑ Newby Island Forward { <br /> Sanitary Landfill Sanitary Landfill Sanitary Landfill Landfill I al <br /> 901 Bailey Road 12310 San Mateo Road 1601 Dixon Landing Road 9999 S.Austin Road `lI: 1 <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 /> F- (925)458-9891 Fax(650)726-9183 Fax(408)262-2871 Fax(209)982-1009 <br /> I <br /> NON-HAZARDOUS WASTE MANIFEST <br /> :NERATOR WASTE ACCEPTANCE NO. <br /> kILING ADDRESS _ <br /> I. <br /> 77 Beale Street 4909 i <br /> rY,STATE,ZIP REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> San_Fra_nc.actc.n f_.A_ 941?.0 <br /> IONE U GLOVES U GOGGLES D RESPIRATOR O HARD HAT gip q, <br /> -- U TY-VEK U OTHER <br /> )NTC R O SPECIAL HANDLING PROCEDURES: <br /> 3NATURE OF AUTHOR ED AGENT/TITLE JDATE I <br /> fi lh rued Asetit for <br /> ific Gas&FA I, <br /> /O ................. <br /> I <br /> ENERATOR'S CERTIFICATION:1 hereby certify that the above named material is not a hazardous None <br /> We 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 /> gulati %ANO,If the waste Is a treatment residue of a previously restricted hazardous waste <br /> rbjed b the land Disposal Restrictions,I certify and warrant that the waste has been treated in RECEIVING FACILITY <br /> �oordance with the requirements of 40 CFR Part 268 and is no longer a hazardous waste as defined by <br /> CFR Part 261. <br /> 4STE TYPE: <br /> ,&bISPOSAL U SLUDGE <br /> U CONSTRUCTION U WOOD <br /> U DEBRIS U OTHER <br /> O SPECIAL WASTE <br /> :NERATING FACILITY <br /> Qui �--hydh-aWr ThomLon <br /> A,.,PORTER NOTES: VEHICLE LICENSE NUMBER TRUCK NUMBER <br /> nii-meste l a tatton <br /> )DRESS <br /> _ _ Y elsto _.t- 1 <br /> TY,STATE,ZIP <br /> ' 195492Iltfii <br /> IONE END DUMP BOTTOM DUMP TRANSFER It tf i <br /> ❑ ❑ <br /> 3NATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS . <br /> I` <br /> CUBIC YARDS f <br /> 1 hereby certify that the above named material has been <br /> accepted 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 /> tt�llf <br /> :MARKS U SOIL <br /> U CONSTRUCTION <br /> CILITY TICKET NUMBER DEBRIS <br /> U NON-FRIABLE <br /> ASBESTOS <br /> 'NATURE OF AUTHORIZED AGENT DATE <br /> Ll WOOD <br /> U ASH <br /> U SPECIAL OTHER <br /> 'I <br /> )Ut l)I+IG.OAU,ST BE MADE PRIOR TO 3:00 P.M.THEDAY PRIORTO EXPECTED ARRIVAL*ANY1 <br /> SLED LOADS ARE SUBJECT <br /> =E(Ii; L`JJ0ON ARRIVAL. ONGOING DAILY DELIVERIES MUST BE SCHEDULED WIT �'L�IIVI FILL THE DAY BEFORE. <br /> GENERATOR COPY IFEST# 341933 I <br />