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] Keller Canyon ❑ Ox Mountain ❑ Newby Island Worward <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 <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 C <br /> NON-HAZARDOUS WASTE MANIFEST <br /> :NERATOR WASTE ACCEPTANCE NO. ' <br /> �,. r_ <br /> A r1<rLLY1,, \,) D NC. Ii:YMw+iA.Y\+ <br /> \(LING ADDRESS <br /> A fills— <br /> 77 Rule Street It 7"7 <br /> fY, STATE,ZIP REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> San Francisco, CA 94120 Q GLOVES Q GOGGLES Q RESPIRATOR O HARD HAT <br /> ION E <br /> -3 - Q TY-VEK Q OTHER <br /> )NT CT PERSON SPECIAL HANDLING PROCEDURES: <br /> Robert Gray <br /> 3NATURE OF AUTHO IZED AGENT/TITLE DATE i. <br /> CAS Ag«a rur <br /> Pacific,Gas&Electric ................ I , <br /> �T 104*1 <br /> >vuue <br /> ENERATOR'S CER (CATION:I hereby Certify that the above named material is not a hazardous <br /> isle as defined by 40 CFR Part 261 or title 22 of the California code of regulations,has been properly <br /> scribed,classified and packaged,and is in proper condition for transportation a-cording to applicable <br /> gulabons;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 Part 266 and is no longer a hazardous waste as defined by <br /> t CFR Pan 261. <br /> %STE TYPE: <br /> DISPOSAL ❑SLUDGE <br /> ❑CONSTRUCTION U WOOD <br /> O DEBRIS U OTHER { ` <br /> O SPECIAL WASTE <br /> :NERATING FACILITY <br /> T omtun Uciay&dIOr 7"nurnduri 1 <br /> tAi. ,PORTER" NOTES: 'VEHICLE LICENSE NUMBER TRUCK NUMBER ' <br /> 1)wBeste"1"ransp©rtatio t I , <br /> IDRESS <br /> 820 n e,_4 Ct. <br /> 1Y,STATE,ZIP <br /> ndsoir, CA 95492 <br /> IONE ' END DUMP BOTTOM DUMP TRANSFER <br /> 1 AR- 407 ❑ ❑ I ., <br /> 31NA UR IZED AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> /0-Z r b <br /> CUBIC YARDS ' <br /> I hereby certify that the above named material has been f <br /> accepted and to the best Of my knowledge the foregoing DISPOSAL METHOD: (TO BE COMPLETED BY LANDFILL) J) <br /> is true and accurate. f <br /> DISPOSE OTHER <br /> 1 . <br /> RKS U SOIL <br /> U CONSTRUCTION <br /> C1LITY TICKET NUMBER DEBRIS <br /> U NON-FRIABLE <br /> ASBESTOS <br /> TUBE OFAUTHORIZED AGENT DATE <br /> Q WOOD I 1 <br /> U ASH <br /> U SPECIAL OTHER <br /> MA <br /> PE PRIORTO 3:00 P.M.THE DAY PRIOR TO EXPECTED ARRIVAL•ANY UNSCHEDULED LOADSARE SI", CT <br /> CfSAL V RRIYAL. ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THIS AY E. <br /> GENERATOR COPY MANIFEST# � 193 � i <br />