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] Keller Canyon ❑ Ox Mountain ❑ Newby IslandForward <br /> Sanitary Landfill Sanitary Landfill Sanitary Landfill Landfilli !! [11 <br /> 901 Bailey Road 12310 San Mateo Road 1601 Dixon Landing Road 9999 S.Austin Road 0 fI W i <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 /> Pah is (las coir-.• Elccftic <br /> ULING ADDRESS <br /> 77 Beale Street <br /> `t7V7 � <br /> TY, STATE,ZIP REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> Sall Frarkciw_�oCA 94170 ❑GLOVES ❑GOGGLES ❑ RESPIRATOR O HARD HAT i b <br /> IONE teff&f <br /> W3-3771 O TY-VEK O OTHER <br /> )NT CT PERSON <br /> SPECIAL HANDLING PROCEDURES: <br /> 3NATURE OF AUTH RIZED AGENT/TITLE DATE <br /> Auihmiaad Agent for <br /> r Pacific C3as&Flectsic ... ................. <br /> !`IUIIC <br /> ENERATOR'S CERTIFICATION:I hereby certify that the above named material is not a hazardous - <br /> aste as defined by 40 CFR Part 261 or title 22 of the California code of regulations,has been property <br /> monbed,classified ancliuk kaged,and is in proper condition for transportation a-cording to applicable . <br /> gulatfons;AND,If the waste I:a treatment residue of a previously restricted hazardous waste F <br /> rbject to the land Disposal Restrictions,I certify and warrant that the waste has been treated in RECEIVING FACILITY 4I <br /> ;cordance 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: i11r3 <br /> DISPOSAL ❑SLUDGE I � <br /> O CONSTRUCTION O WOOD <br /> O DEBRIS O OTHER <br /> ❑SPECIAL WASTE <br /> _NERATING FACILITY <br /> arniun l hydrator inomton <br /> AI,.jPORTER NOTES: tVIffHfdILE LICENSE NUMBER TRUCK NUMBER <br /> Denbeste Transportation <br /> )DRESS <br /> 82.0 ilt_nRe:Ste 0 � <br /> TY,STATE,ZIP <br /> Windsor (--A 95492, <br /> 1I <br /> IONE END DUMP BOTTOM DUMP TRANSFER 00,01 <br /> Q2 ❑ ❑ <br /> 3NORYGIF'AUTHORIZED AGW OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS 1 <br /> ❑ ❑ ❑ ❑ <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 DISPOSAL METHOD: (TO BE COMPLETED BY LANDFILL) <br /> is true and accurate. <br /> j <br /> DISPOSE OTHER <br /> ❑SOIL 111tI l <br /> :MARKS •� <br /> ❑CONSTRUCTION <br /> .CILITY TICKET NUMBER DEBRIS <br /> O NON-FRIABLE <br /> ASBESTOS <br /> 3NATURE OF AUTHORIZED AGENT DATE <br /> ❑WOOD <br /> ❑ASH <br /> O SPECIAL OTHER <br /> DUUNG MUST BE MADE PRIORTO 3:00 P.M.THE DAY PRIQATO EXPECTED ARRIVAL*ANY UNSCHEDULED LOADS ARE SUBJECT I NODE <br /> :FUSAL UPON ARRIVAL. ONGOING DAILY DELIVER[116`-MUST BE SCHEDULED WITH THE LANDFILL THE DAY: BEFORE. (left f <br /> GENERATOR COPY MANIFEST# 141915 <br />