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] Keller Canyon ❑ Ox Mountain ❑ Newby Island Forward <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 I <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 4' <br /> NON-HAZARDOUS WASTE MANIFEST f <br /> :NERATOR WASTE ACCEPTANCE NO. <br /> � �ll�llr V -U.liA{^,rtrrl 4 <br /> ULING ADDRESS <br /> 77 Reale Street <br /> PY STATE, ZIP REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> fan Franciccn C.A 94171) <br /> ZONE D GLOVES U GOGGLES U RESPIRATOR U HARD HAT tt tt'i <br /> "04 <br /> U TY-VEK U OTHER <br /> )N t <br /> SPECIAL HANDLING PROCEDURES: <br /> 3NATOA HORI ED AGENT/TITLE FDATEAuthori=d Asta for <br /> Pacific Gras i&0ectrtc Z Q. <br /> i c <br /> ENERATOR'S CERTIFICATION:I hereby certify that the above named material is not a hazardous 1\Twle ' <br /> ante as defined by 40 CFA Part 261 or fide 22 of the California code of regulat ions,has been property i <br /> ncvibed,classified and packaged,and is in proper condition for transportation a-cording to applicable <br /> gulations;AND,It the waste Is a treatment residue of a previously restricted haxerdous waste <br /> Eject to the Land Disposal Restrictions,I cerfity and warrant that the waste has been treated in RECEIVING FACILITY <br /> x;ordance with the requirements of 40 CFR Part 268 and is no longer a hazardous waste as defined by <br /> )CFR Part 261. <br /> >STE TYPE: I :I <br /> _ZCONSTRUCTION <br /> LJ <br /> � 1 I <br /> U CONSTRUCTION D WOOD <br /> O DEBRIS D OTHER <br /> 0 SPECIAL WASTE 1 <br /> :NERATING FACILITY j <br /> vrniUn% nydrawr nesnion I - <br /> IAI ORTER NOTES: VEHICLE LICENSE NUMBER TRUCK NUMBER <br /> UenBeste Transportation <br /> )DRESS l� <br /> R7.0 llenRegte:C..t_ <br /> rY,STATE,ZIP <br /> Windg(W CA 95499 <br /> 1 � <br /> [ONE END DUMP BOTTOM DUMP TRAN§FER !R`0.'01 <br /> L11 ❑ W2 <br /> , .. <br /> 34OA EWA Tri RIZED AGEVT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS "I <br /> L11 Q1 ❑ ❑ <br /> &L <br /> CUBIC YARDS A.'. <br /> 1 <br /> 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 /> E <br /> DISPOSE OTHER ii <br /> :MARKS O SOIL I ; <br /> U CONSTRUCTION Il <br /> CILITY TICKET NUMBER DEBRIS <br /> D NON-FRIABLE <br /> ASBESTOS 1 i' <br /> 3NATURE OF AUTHORIZED AGENT DATE , <br /> U WOOD <br /> I . <br /> U ASH <br /> I <br /> I <br /> U SPECIAL OTHER <br /> )ULING MUST BE MADE PRIOR TO 3:00 P.M.THE DAY PRIOR TO EXPECTED ARRIVAL a ANY UNSCHEDULED LOADS ARERBJECT h ! I <br /> :FUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY OEFORE. #1( <br /> GENERATOR COPY MANIFEST N <br /> 34`x.339 <br />